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.
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(ĕlk’hôrn păd’ler) n. 1. A person, or group, interested in promoting “quietwater” stream cruising, FUN, safety and river etiquette.
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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