Fairbanks Paddlers Membership Form

To join the Fairbanks Paddlers, print the form below, fill it out, remembering to include your e-mail address to have access to the paddlers' listserver, sign the release on the bottom, and send it, along with your dues, to the address below.
Fairbanks Paddlers P.O. Box 83329 Fairbanks, AK 99708

For an Adobe Acrobat version, click here.

Name(s):
Address:
City, State, Zip
Home Phone: Work Phone:
E-mail:
What style of boat / class of water have you paddled / do you wish to paddle?
 
Annual Dues are: $10 /individuals, $15 / households,
$150 / business for the period of April 1 - March 31
Dues enclosed: $
Do you wish to keep your name and phone number off the membership list distributed to other FAIRBANKS PADDLERS members? _____ Yes! _____ No.
(If you do not make a selection, you will be included in the list.)

Waiver Of Liability: I acknowledge and fully understand that boating activities inherently involve risk of damage to property, serious injury and even death, whether as a result of my own choices and actions or of the actions, inaction and/or negligence of others. Nevertheless, despite these inherent risks, I choose to join the Fairbanks Paddlers organization and to continue to participate in boating activities. I alone shall be responsible for the use of my own judgment in determining whether I should participate in any club activities.

Further, in consideration of your acceptance of my membership, I, for myself, my heirs, executors, administrators and assigns, and any other members of my household who may be covered by this membership, forever waive, release and discharge any and all rights, demands, and claims for damages I may have against FAIRBANKS PADDLERS, its representatives, officers, members, board members, or outing leaders for any and all loss or injuries in any manner arising out of or resulting from my participation in any of the activities of FAIRBANKS PADDLERS. I freely and voluntarily assume all risks as incident to participation, including but not limited to: 1) proper selection, maintenance and use of equipment; 2) assessment of water conditions and level of difficulty;3) judging the level of risk and whether my skill level is adequate to safely meet the risks;4) my physical condition and conditioning; 5) cold and risks of hypothermia; 6) the risk of striking rocks or other objects; 7) the risk of being caught in hydraulics; and 8) the risk of not being rescued before injury or death occurs. I will assume and pay my own medical and emergency expenses in the event of an accident, illness or other incapacity regardless of whether I have authorized such expenses.

Signature(s): _______________________________  Date: __________________

FAIRBANKS PADDLERS subscribes to the American Whitewater Safety Code.
Whitewater sports entail a certain degree of risk.
The goal of FAIRBANKS PADDLERS is to have fun safely!