Palm Beach Pack & Paddle Club Membership Application Form

Please list the “primary” person to be associated with the account. Names and contact info for other household members should be listed later in the form.

Note: The Palm Beach Pack & Paddle Club will not sell or share member contact info.

Red asterisks * denote fields required to enable submission

Full Name*

First NameNickname, if preferredLast Name

Home Address (Local, if seasonal)*

Street Address

Street Address Line 2

CityState

Zip Code

Email Address*

Confirmation EmailRe-enter your email address for confirmation.

Primary Phone*

(Mobile Phone if applicable)Format: (000) 000-0000.

Secondary Phone

Format: (000) 000-0000.

MobileHome (landline)Other

Household member names and contact info

If joining as a household, enter names and contact info for other household members.

Emergency Contacts: Please provide info for at least one emergency contact.

Emergency Contact 1 Phone Number:*

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact 1 Name:*

First NameLast Name

Emergency Contact 2 Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact 2 Name:

First NameLast Name

Volunteer Support

The Palm Beach Pack & Paddle Club is 100% volunteer and relies heavily on members to help sustain and grow the club.
We would love the opportunity to discuss with new and renewing members the ways that they can help with this cause.
Are you ok with having a club officer contact you to discuss potential ways that you can help the club?

Volunteer support interest*

Please select an option and some comments on this topic in the box to the right

Volunteer support comments

WAIVER

As a member of Palm Beach Pack and Paddle Club, Inc., (the Club) I/we understand that there are certain risks involved in participating in outdoor activities. I/we agree to accept personal responsibility for myself, my family, and/or my guests at all club activities. I/we am/are legally responsible for all minor family members. I/we also agree to hold harmless and free from blame, the Club, its officers and members, for any accident, injury or illness, which might be sustained while participating in any club activities. Travel to and from Club activities is not part of the activity.

I/ we have read the statements above and agree to abide by its contents.

Enter your name in the box below to acknowledge.

Electronic signature (typed name):*

Enter your name to acknowledge that you agree with the terms of the club waiver listed above.

How did you learn about the club?

Other

If you learned about us though another means, please describe how

Tell us a little about yourself through the following questions and the text boxes below.

What outdoors activities do you like to participate in (or would like to)?

Related to the club's primary activities (camping, hiking/walking, paddle sports, bicycling. snorkeling, picnics/social events, club meetings), which would you most likely participate in? If there are are other similar activities that you think the club should consider, please explain.

What outdoor skills do you have?

Are you interested and willing to lead/ teach?

Related to club activities and events, would you be interested and willing to lead, teach, or demonstrate skills? If so, please explain.

What is your current or former field of employment? Any other skillsets that may be beneficial to the club?

This is related to having other skills that may be helpful to the club.

Describe your availability/ preference for attending club activities (weekdays, weeknights, and weekends). Check all that apply.

WeekdaysWeeknightsWeekends

Annual Dues: $20 for individuals or $25 for household
(payable via cash, check, Zelle, or Paypal)

Membership lengths:

Individuals joining from Sept. 1, 2025 to Dec. 31, 2025, will be paid members for those months and all of 2026.
Individuals joining in 2026 will be paid members for all of 2026.

Dues payment method*

Please select the means by which you will submit your dues payment

Memo field: Please add “2026 Dues for (member name) and phone number” in the memo field of checks, Zelle, and Paypal.
Zelle: via club email address: palmbeachpackandpaddle@gmail.com ;
enrolled as: “Palm Beach Pack and Paddle Club, Inc.”
Paypal: @wpbpnp (www.paypal.com/paypalme/wpbpnp) “Palm Beach Pack and Paddle Club, Inc.”
Mailing address: PB Pack & Paddle Club / PO Box 16041 / West Palm Beach, FL 33416

Additional Donations Appreciated

The Palm Beach Pack & Paddle Club always appreciates monetary donations to help support our operations and our conservation-related activities. If you would like to donate in addition to your dues, it would be helpful if the donation was in a separate transaction with “Donation to PB PP club” in the memo field.

If you have any feedback that you would like to share with the officers of the club, please add it in the box below.

Thank you for applying for membership to the Palm Beach Pack & Paddle Club.

Please remember to submit your dues payment and
press the Submit button below.

You should receive an email confirming that we’ve received your application.

Member Information Changes
If you need to update any information on the application after submission, please email us at palmbeachpackandpaddle@gmail.com with details of the changes. Please include "Member Info Change Request" in the email subject.

We’re always open to feedback.
Please email us at palmbeachpackandpaddle@gmail.com if you ever have concerns, suggestions, general feedback, or would like info on helping to support the club.

Palm Beach Pack & Paddle Club 2026 Membership Application Form