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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