ELKHORN PADDLERS
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Contact

For cruise and membership information:             Dave Stawicki    davestawicki@yahoo.com
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General Membership Application


Name(s)___________________________
Address___________________________
City______________________________  State___________________  Zip____________________
Phone (________) __________________
Email_____________________________

Dues are $15/solo or $20/tandem 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_____________________

Print, fill out and mail this page to:
Elkhorn Paddlers
C/O Dave Stawicki
1748 Hawthorne Lane
Lexington, KY 40505
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