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Membership Registration 2023Hinano Wizard2023-03-18T19:21:43-10:00

Mahalo for coming here to become a member of Waimanalo Canoe Club. To complete this membership form you will need to be able to upload a picture of yourself and upload a drivers license or birth certificate (keiki). Straight from your smart phone works great. Come back later when you have those documents in hand.
Hidden
Membership End Date
Paddler Name:(Required)
Address(Required)
MM slash DD slash YYYY
Mobile/SMS
Phones: Home
IN AN EMERGENCY CONTACT:
Parent or Legal Guardian

Waimanalo Canoe Club Member Profile

Paddle Shirt Size
New/Returning
Last Classification (Pick One)
Can You Swim?(Required)
Are you transferring from another club? If yes, provide the name of the club and classification. You may also describe your paddling or coaching experience if you wish.
Years of Age. Whole numbers only. Example: 28
Please enter a number from 7 to 99.
I am the parent or legal guardian of the registrant, who is a minor, and I agree to allow them to participate as a member in WCC's 2023 paddling season.(Required)
(For applicants under 18, please list a parent/guardian as the emergency contact. You may add additional information or contacts in the "additional information" box below.

Medical Coverage

Agreements

Fundraiser Agreement(Required)
I understand that:
Every member is responsible to sell ALL tickets or items issued for any fundraising event, and to be responsible to pay for any unsold or lost amounts. No tickets or items may be returned once issued. Every member will participate in the Waimånalo Regatta and fundraising events.
Refund policy(Required)
I understand that my club membership/registration fees are payable on or before June 1 2023, and there will be NO refunds of fees.
Photo Release(Required)
Waimanalo Canoe Club hereby has permission to photograph, film or otherwise record and use images of myself and/or my child/childrens' name, voice, and/or likeness, bibliographical identification, and/or work for educational purposes and for publicizing and promoting WCC and its activities.

Optional: Ethnicity

Native Hawaiian / Part Hawaiian
Check all that apply:

Adult Sign CLUB Membership Agreement

This release is executed, between Waimanalo Canoe Club (“CLUB”), of Waimanalo, Hawaii. I, Releaser, being over the age of 18 years, in consideration of being permitted to participate in the sport of canoe paddling with the CLUB, do hereby release and hold harmless the CLUB from any and every claim, demand, action or right of action, of whatever kind or nature arising from or by reason of any injury to me known or unknown death, or property damage resulting from any accident which may occur because of participating in canoe paddling or any activities in connection with canoe paddling (including social activities), whether by negligence or not. I further release all members and coaches from any claim whatsoever I may have on account of first aid, treatment or service rendered me during my participation in this sport. This release contains the entire agreement between the CLUB and me and the terms of this release are a contract. I have read this release, I understand it, and I sign it as my own free act. I understand that before I sign, I may have my attorney review this release and he or she can explain in detail the full extent of the legal rights I am giving up. IN WITNESS WHEREOF, Releaser has executed this release.

Guardian Sign CLUB Membership Agreement

As adult Parent Guardian of Minor Applicant do hereby authorize my child to participate in 2022 Canoe Racing Season as a member of Waimanalo Canoe Club. I do hereby release and hold harmless the CLUB from any and every claim, demand, action or right of action, of whatever kind or nature arising from or by reason of any injury to my child known or unknown death, or property damage resulting from any accident which may occur because of participating in canoe paddling or any activities in connection with canoe paddling (including social activities), whether by negligence or not. I further release all members and coaches from any claim whatsoever I may have on account of first aid, treatment or service rendered to my child during his/her participation in this sport. This release contains the entire agreement between the CLUB and me and the terms of this release are a contract. I have read this release, I understand it, and I sign it as my own free act. I understand that before I sign, I may have my attorney review this release and he or she can explain in detail the full extent of the legal rights I am giving up. IN WITNESS WHEREOF, Releaser has executed this release.

Waimanalo Canoe Club
PO Box 259
Waimanalo, HI 96795

A 501c3 Public Benefit Organization, Tax ID # 99-0338995
Donations are tax deductible to the full extent of the law.

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