MEMBERSHIP
&
RENEWAL FORM
Dues:
$15.00 Yearly
Family Membership (January
1 renewal date)
Send
to:
Name(s)
_________________________________________________________________________________________
Address
_________________________________________________________________________________________
_________________________________________________________
Zip _____________________________
Phone: (H) _____________________ (W)
______________________ Email
_________________________________
I
would like to
receive my newsletter by email.
(circle)
Yes
No
Membership
Status? (circle) New
Renewal
What
boats do you
paddle? (circle)
Kayak
C-1
C-2
Solo Canoe
Tandem
Canoe
Other
What
is your
paddling ability? (circle)
Beginner
Intermediate Advanced Expert
Class
I-II
Class
III
Class IV - V-
Class V
RELEASE
AND WAIVER
OF LIABILITY
I,
_________________________________________________________, desiring to
join my
fellow paddlers in the East Tennessee Whitewater Club (ETWC), do hereby
declare
that I fully understand and accept the following facts of life on the
river:
1.
Canoeing, kayaking, or rafting,
particularly on whitewater rivers, exposes the participants to various
safety
hazards, including but not limited to, water hazards (boulders,
undercut rocks,
trees, strainers, water formations such as water falls, holes, keepers,
hydraulics, and other obstacles), swimming in turbulent water, using
paddling equipment,
accidents or illness in remote places without medical facilities, and
travel in
a vehicle not driven by me.
2.
No one but I am responsible for my
safety when I choose to paddle a particular river or a particular rapid.
3.
I further understand that I have no
legal duty to assist others, nor does anyone else have a legal duty to
render
such assistance to me. I
certify that I
am in good physical condition, that I can swim, and that I have no
physical
defects or injuries that would prevent me from participating in this
activity. I fully
understand and agree
that, when I participate in canoeing, kayaking, or rafting, there is
always the
possibility of unknown, uncontrollable dangers and accidental or other
physical
injury and death. I
know I can be killed,
and I willingly assume the risks referred to in Paragraph 1 and
elsewhere in
this release.
Therefore,
in consideration for granting me
the right to join and participate in ETWC activities, and intending to
be
legally bound, I hereby release, waive and discharge my right to sue
ETWC, its
trip coordinators, instructors, leaders, officers, directors,
representatives,
agents, employees, and affiliates, and also any landowner or
governmental unit
which may allow ETWC to use its property, for any and all loss or
damage on
account of injury to my person or property or on account of my death,
which may
occur during, in preparation for, or in transit to or from an ETWC
activity.
I
further understand that ETWC carries no
insurance for the protection of participants in whitewater activities,
and any
insurance coverage existing with respect to ETWC shall not alter the
terms of
this waiver nor impose any liability on ETWC.
This
waiver applies only to acts or
omissions of ordinary negligence and to any deliberate act intended to
promote
my safety or well being.
This
waiver is signed by me in the interest
of permitting ETWC to exist and to serve the paddling community, and to
enable
me and my fellow paddlers to feel free to donate their services to
improving
the sport and to help in training those less skilled in the sport
without fear
of liability.
I HAVE CAREFULLY READ THIS
RELEASE AND
FULLY UNDERSTAND ITS CONTENTS. I AM
AWARE THAT THIS IS A RELEASE OF LIABILITY AND I SIGN IT OF MY OWN FREE
WILL.
Signature:
_______________________________________________________
Date: ________________________
Signature:
_______________________________________________________
Date: ________________________
(Parent
or
guardian if participant is under 18 years of age)