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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?
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Annual Dues are: $10 /individuals, $15 /
households,
$150 / business
for the period of April 1 - March 31
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Dues enclosed: $ |
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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.)
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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: __________________
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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!
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