Hoosier Canoe and Kayak Club Membership Application

Please complete this application and then pay your annual dues using a Credit Card or PayPal to become a member or to renew your current membership.

Note: A * after a field name indicates that this field must be filled in.


Member Information

For each family member, please enter their name.

If you are a New Member, please complete the following questions:

Please indicate your interests so we can better plan future programs and publications:

Please use the following area if you have a question or comment.

Waiver - Hoosier Canoe and Kayak Club

I recognize and fully understand that canoeing and kayaking can be a dangerous activity. There can be hidden obstacles in the water, tricky currents, sudden weather changes, and any number of other hazards.

In addition, mistakes can be made by fellow paddlers. Despite the mutually supportive group structure, I am ultimately responsible for my own safety, and do assume sole responsibility for my decisions.

In consideration for my membership in the Hoosier Canoe Club and/or for the privilege of voluntary participation in its activities and events -

I hereby waive and forever release any and all claims and/or demands against the Hoosier Canoe Club, its officers, or any club members due to any of the following:

For personal injury to myself, including death, or damage to any item of personal property, and/or loss of services, arising from any damages or losses which I may suffer or incur while taking part in any activity or event of the club.

This waiver and release shall be binding upon my heirs, executors, administrators, and assigns.

I further agree that if I bring a child or minor to one of the club's activities or events, I alone shall be responsible for the child's health and safety.

Agreement to Waiver

By clicking on the Continue box below and making the subsequent dues payment using PayPal or credit card, I warrant that I am 18 years of age or older and that I have read and agree to the Waiver-Release above.

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