Elkhorn Paddlers

JOIN US!

General Membership Application

Name(s)___________________________

Address___________________________

City______________________________

State___________________ Zip____________________

Phone (________) __________________

Email____________________________

Dues are $15/single or $20/family for a calendar year (Jan-Dec).

Make check payable to Elkhorn Paddlers.

Waiver

Elkhorn Paddler activities do involve some risk of loss of life, personal injury and property damage. As a condition of membership and participation in any Elkhorn Paddler activities, all such risks are herewith accepted by the applicant. The Elkhorn Paddlers club, its officers, members and sponsors are held harmless of any and all liability. By signing below I state that I have read and understand the above and agree to these terms. Signature.__________________________________________Date_____________________ Signature__________________________________________Date_____________________

Elkhorn Paddlers

C/O Dave Stawicki

1748 Hawthorne Lane

Lexington, KY 40505

 
(ĕlk’hôrn păd’ler) n. 1. A person, or group, interested in promoting “quietwater” stream cruising, FUN, safety and river etiquette.
Print, fill out and mail this form to: Print, fill out and mail this form to:
(ĕlk’hôrn păd’ler) n. 1. A person, or group, interested in promoting “quietwater” stream cruising, FUN, safety and river etiquette.

JOIN US!

General Membership

Application

Name(s)___________________________

Address___________________________

City______________________________

State___________________

Zip____________________

Phone (________) __________________

Email____________________________

Dues are $15/single or $20/family for a

calendar year (Jan-Dec). Make check payable to

Elkhorn Paddlers.

Waiver

Elkhorn Paddler activities do involve some risk of loss of life, personal injury and property damage. As a condition of membership and participation in any Elkhorn Paddler activities, all such risks are herewith accepted by the applicant. The Elkhorn Paddlers club, its officers, members and sponsors are held harmless of any and all liability. By signing below I state that I have read and understand the above and agree to these terms. Signature.__________________________________________ Date_____________________ Signature__________________________________________ Date_____________________

Elkhorn Paddlers

C/O Dave Stawicki

1748 Hawthorne Lane

Lexington, KY 40505