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PARADISE PADDLERS
FLORIDA KEYS PADDLING CLUB P.O. BOX 1657 KEY LARGO FL 33037
Membership Application
Dues are $10 per household. Club dues are based on the calendar year. Renewals are collected between January 1st and February 28th each year. Please make check payable to PARADISE PADDLERS or attach cash. The Waiver/Release Statement on back MUST BE SIGNED AND DATED! If Waiver/Release is not completed, or payment not enclosed, your application will be returned. Type in all information, print out, sign and send in.
Mail to: Paradise Paddlers P.O. Box 1657, Key Largo FL 33037
Membership is: NEW RENEWAL Today’s date
NAME
ADDRESS
CITY STATE ZIP
TEL FAX EMAIL
If family membership, please list additional names:
Would you be interested in being a trip coordinator? YES NO
If yes, please indicate where and dates below:
What kind of boats do you own?
Comments/suggestions/special interests/requests:
Any Questions? Call (305) 451-3018
For Office Use Only: Member Since_____ (Mo/Yr) Paid Amount_____ Check#_____ E-Mail List_____ Membership Card_____ Mail List_____
I/WE, (please TYPE IN the names of all family members)
DESIRING TO JOIN FELLOW PADDLERS IN THE PARADISE PADDLERS KAYAK AND CANOE CLUB, DO HEREBY DECLARE THAT I/WE FULLY UNDERSTAND AND ACCEPT THE FOLLOWING FACTS OF LIFE ON THE WATER:
(1) kayaking, canoeing, rafting, hiking, or any other outdoor activity which Paradise Paddlers may engage in or offer to club members, may expose participants to various safety hazards;
(2) No one but myself is responsible for my safety when I choose to challenge my capabilities. Exposure to the elements: wind, sun, heat, rain, cold, electrical storms as well as tidal currents, rip tides, exposed open water, surf, river rapids or any other acts of nature, can cause serious injury or death.
(3) I expect to assist my fellow paddlers to the best of my own personal skill and ability if they appear to need such assistance – but only so long as I can do so, in my own judgment, without significant danger to myself. I further understand that this does not imply any LEGAL duty for me to do so, nor for anyone 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, the right to SUE the PARADISE PADDLERS KAYAK & CANOE CLUB, its officers, trip coordinators, or any of my fellow paddlers, for any injuries to my person or my equipment which may occur during, in preparation for, or in transit to or from a PARADISE PADDLERS outing, meeting or gathering. This waiver applies to any negligent act or omission, and to any intentional act intended to promote my safety or well-being.
This waiver is given in the interest of permitting the PARADISE PADDLERS to exist and serve the paddling community, and to enable myself and my fellow paddlers to feel free to donate their services to the sport and to help in training those less skilled than ourselves without fear of liability.
MY WAIVER IS GIVEN IN EXCHANGE FOR SIMILAR WAIVERS TO BE GRANTED ON MY BEHALF BY OTHER MEMBERS OF THE PARADISE PADDLERS KAYAK AND CANOE CLUB.
Signature X Date __________________
Spouse’s Signature X Date __________________
Signature of each additional family member (signature of parent or legal guardian must accompany any signature of applicants under 18 years of age).
X Date __________________
X_________________________________________________________ Date __________________