I am a
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New Keel-Hauler
Returning Keel-Hauler
Please select ALL your paddling interests
White Water
Sea Kayaking
Recreational Kayaking
Canoe/Kayak Camping
Name
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First Name
Last Name
Spouse or Significant Other's Name
First Name
Last Name
Primary Email Address
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Alternate Email Address
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone #1 - Cell
(###)
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Phone #2
(###)
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Phone #3
(###)
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For the Yearbook, please list my
Choose up to (2) phone numbers for the KHCC Yearbook.
Phone #1 - Cell
Phone #2
Phone #3
List All Children and Birth Years
How would you like to receive the monthly KHCC newsletter?
E-MAIL is fine with me - save the trees!
If club starts PRINTING, I would pay extra to receive
You may share my membership information
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Yes - Only with the approval of KHCC Board
No - You may never share any membership information with any nonmember
List name & Information in Yearbook or directory
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Yes
No - All my information is private
Agreement to Protect Member Information
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As a condition of membership, you may not share member personal information with persons or entities who are not members of this group, for any purpose, without the express authorization of the member(s) whose information you wish to share.
I agree that I will never share any member’s personal information with any person or entity outside of this group without the express authorization of that member. In addition, I will not make use of any member’s personal data for any purpose, other than those purposes expressly stated above.
Member's Mutual Agreement for Protection from Liability
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I, desiring to join my fellow paddlers in the Keelhauler's Canoe Club (the "Club"), do hereby declare that I fully understand and accept the following facts of life on the river:
(1) Boating on whitewater rivers exposes participants to various hazards. These hazards include (but are not limited to) loss of life and/or limb or property damage caused by boulders and other obstacles, strainers, undercut or entrapping formations, falls, holes, reversals, and other water formations, changing conditions, cold, high water and other hazards;
(2) No one but myself is responsible for judging my qualifications for my safety when I choose to challenge my capabilities by boating on a particular river, or a particular rapid;
(3) I may assist my fellow paddlers to the best of my own ability if they appear to need such assistance - but only so long as I can do so, in my judgment, without significant danger to myself. I further understand that this does not imply any legal duty for me to do so, nor for any one else to render such assistance to me.
Now, therefore, intending to be legally bound, I hereby waive, for myself and for anyone else claiming through me, my right to sue the Club, its officers and members, trip coordinators or any of my fellow paddlers, for any injuries to my person or my equipment which may occur during, in preparation from or in transit to or from a club outing. The waiver applies to any negligent act or omission intended to promote my safety or well-being.
This waiver is given in the interest of permitting the Club to exist and to serve the paddling community, and to enable myself and my fellow paddlers to feel free to donate our services and to help each other without fear of liability.
My waiver is given in exchange for similar waivers to be granted on my behalf by other members of the Club. Waiver has no expiration.
MINOR WAIVER : I also give permission for my Minor Children (as named above in my application) to participate in Club outings. I waive the rights described above with respect to the named minor(s), and I further agree to indemnify the Club, its officers and members, trip coordinators and other outing participants from any claims arising from the participation of the above named minor(s).
I Agree
Additional Questions or Comments