Application form

General Membership Application - 2010 First name(s)_______________________________________________________ ________________________________________ Address_____________________________________________ City_____________________ State_________ Zip______________ Phone (___) _____________________ Email_____________________________ Dues are $12/single or $15/family for a calendar year (Jan-Dec). Make check payable to Elkhorn Paddlers. 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___________________ Mail completed application to: Elkhorn Paddlers C/O Donna DePenning 830 Sunset Drive Lexington, KY 40502

Last Updated Tuesday, February 23 2010 @ 08:54 PM EST; 2,192 Hits