2022-2023 CLUB WAIVER

2022-2023 CLUB WAIVER
Check if guest paddler

I am a Guest Paddler (Vistors, Other team,2-Session Pass)Club Member (Full Membership)
Check if under the age of 18 years old (At the time of registration)

Minor - U18
Date:*

MonthDayYear
Date
Participant / Member Name:*
Address: *
Phone Number:*
Email Address:*
Signature*
FOR PARTICIPANTS OF MINOR AGE

(UNDER AGE 18 AT THE TIME OF REGISTRATION)
Parent / Legal Guardian Name
Minor DOB:

MonthDayYear
Date
Emergency Contact #
Signature of Parent/ Legal Guardian
Should be Empty:

FOR PARTICIPANTS OF MINOR AGE