PTCC MEMBERSHIP RENEWAL OR NEW MEMBER APPLICATION FORM

PTCC MEMBERSHIP RENEWAL OR NEW MEMBER APPLICATION FORM
Thank You for joining or renewing your membership in Paddle Trails Canoe Club. Please fill out this form for our records for paddle season ending Oct 31 2011. After completion of form your membership can be completed by making dues payment thru Pay Pal. Type of Membership	New Renewal
Are you willing to receive our newsletter Canews in electronic form only or do you wish to receive a hard copy also?	Electronic Only Hard Copy and Electronic.
Interests	Whitewater Flatwater Extended Trips Camping Training Boat Building Racing
Volunteer interests	Conservation Access Training Club Outreach Trip Schedule Canews Web Page Membership Social
Safety Creed In the interest of members’ own safety and that of other members, participants agree to abide by the rules of this club. If less than 18 years of age, participation in club activities will be with parents’ or guardians’ consent and their full assumption of responsibility in case of accident. By applying for new or renewal of membership, participants affirm their endorsement of this Safety Creed.	All participants affirm their endorsement of this Safety Creed
Assumption of Liability Members agree that their participation in paddlesports involves certain risk to life and property. They agree to use their own judgment for determining participation in Paddle Trails activities and to assume all responsibility for themselves. The Paddle Trails Canoe Club, its officers and trip coordinators are absolved of all liability for any loss of life or property, physical injury, or property damage.	All particpants affirm their Assumption of Liability.
Household Name How you want your newsletter mailing label to appear. example: (Dick & Jane Doe & family)
Street Address
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Todays Date
List Adult Household Participants. Adult Participant. 1
Adult Participant. 2
Adult Participant. 3
List Minor Household Participants. #1
Minor 1 Birth Date
Minor 2
Minor 2 Birth Date
Minor 3
Minor 3 Birth Date
Minor 4
Minor 4 Birth Date
Minor 5
Minor 5 Birth Date

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