Canoe & Kayak Club
Kerrville, Texas

MEMBERSHIP APPLICATION

 NAME:__________________________; SPOUSE:_________________________________

 MAILING ADDRESS:________________________________________________________

 PHONE:  Residence: ______________; Work: ___________; FAX:  _________________

 E-mail address: ______________________________________________________________

 CHILDRENS' NAMES AND AGES:___________________________________________

 BUSINESS OR PROFESSION:_________________________________________________

WATER CRAFT PADDLED:    Kayak ________  Canoe __________  Other ___________

 INTERESTS AND COMMENTS:________________________________________________

 _____________________________________________________________________________

LIABILITY WAIVER
(Signature Required To Validate Membership)

I realize that participation in activities of the HILL COUNTRY PADDLERS CANOE CLUB may result in injury or illness due to accidents,  the force of nature, or other causes not foreseeable. Such injury or illness may include,  but is not necessarily limited to,  disease,  strains,  sprains  fractures,  dislocations, paralysis and/or death.  Possible injuries may cause serious and permanent disability.  I do recognize this risk,  and by my participation in these activities,  I  hereby knowingly assume the risks arising out of each activity.
       On behalf of myself,  my heirs,  executors,  administrators and personal representatives,  I hereby agree to hold harmless and without fault,  release and indemnify HILL COUNTRY PADDLERS CANOE CLUB and its officers,  directors and employees,  trip organizers, leaders,  agents,  employees and instructors from any and all liabilities,  claims and suites for bodily injury,  illness,  property damage,  wrongful death,  loss of services or otherwise which may arise out of my participation in the activities,  whether or not such claims or suits arise from negligent acts by the organizers and conductors of the activities,  their employees or volunteers,  another participant,  or any other person or from any cause,  and do hereby WAIVE any remedy I may have,  in law or in equity.  This Waiver of Liability is in effect as pertains to each activity,  to and including while in transit to and from each activity,  and while participating in each activity.

I HAVE READ THE ABOVE WAIVER AND RELEASE.  I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT,  AND I SIGN IT VOLUNTARILY:

SIGNATURE:_____________________DATE OF BIRTH:___________DATE:___________

SIGNATURE OF PARENT OR GUARDIAN IF PARTICIPANT IS LESS THAN 18 YEARS OF AGE:

SIGNATURE:________________________ AGE:_____________  DATE:___________