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WANDA CANOE CLUB INC.
C/O Carole Baligh
305 Lakeview Drive
Ringwood, NJ 07456
RELEASE AND WAIVER OF LIABILITY
In consideration of receiving permission from the Wanda Canoe Club Inc., a nonprofit corporation of the State of New Jersey, to enter races under it's sponsorship, be involved in its canoe instructional programs, participate in its cruises, use any of its facilities, and be involved in any and all of its other activities involving the sport of canoeing, the receipt of such permission being hereby acknowledged, the undersigned hereby releases the Wanda Canoe Club Inc., and its members, agents, officers, servants, and employees of, from any and all liability, claims, demands, actions, and causes of action whatsoever, arising out of or related to any loss, damage, or injury (including death) that may be sustained by the undersigned, or any property of the undersigned, while engaged in any of the foregoing activities or other sponsored activities of the Wanda Canoe Club Inc.
The undersigned, being duly aware of the risks and hazards inherent in water sports and activities involving the use of lakes, streams, rivers, or other bodies of water, hereby elects voluntarily to involve in said activities, knowing that said activities may be hazardous and dangerous due to the inherent nature of the activities. The undersigned hereby voluntarily assumes all risks of losses, damage, or injury that may be sustained by the undersigned, or any property of the undersigned while engaged in said activity.
In signing the foregoing release and waiver of liability, the undersigned hereby acknowledges and represents:
(a) That he or she has read the foregoing release, understands it, and signs it voluntarily;
(b) That he or she is over 18 years of age, or that he or she is the parent of a child that has permission to be involved in the activities of the Wanda Canoe Club Inc.
(c) That he or she grants permission for Wanda Canoe Club to use any photo, electronic or video image(s) of the applicant for publicity, instructional or any other purposes including a web site.
(d) That the ACA release contained on the reverse side shall also apply to the Wanda Canoe Club Inc., and its members, agents, officers, servants, and employees.
IN WITNESS WHEREOF, the undersigned signs this Release and Waiver of Liability:
Name Signature_ _This day of 20________
City State Zip Birth Date ___________________
Parental Permission for minors under 18
I Name Address Birth Date ______________
hereby grant permission for my _______________________ named above to invoke this waiver.
WITNESS(ES): this day of 20__ญญญญ___________
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =
APPLICATION FOR MEMBERSHIP or MEMBERSHIP RENEWAL:
Having read a complete copy of the Constitution and By‑Laws of the Wanda Canoe Club Inc. available at http://wandacc.org/WCC_Information/constitution.htm and with a complete understanding of the terms of the said Constitution and By‑Laws, I hereby certify that I am eligible for membership in the Wanda Canoe Club Inc. under the terms stated in the above captioned Constitution and By‑Laws. I further agree that upon my acceptance as a member in the Wanda Canoe Club Inc. that I will be governed at all times during my membership by the Constitution and By‑Laws of the Wanda Canoe Club Inc. Minors need signature of parent or guardian.
Name Address ___________________________ Apt. ________
City _____ State Zip ________ Birth Date ญญญ_________
Phone, H ( ) - Bus. ( ) -_________ Cell ( ) -_________
EMAIL, _______________________________________ Date ______________
Parental Permission for minors under 18
I Name ________________________________ Address _______________________________________
hereby grant permission for my _______________________ named above to apply for membership. Birth Date _______________
Sponsoring Member (Printed) (Signed) ___________________________Date_____________
Membership Chair (Printed) (Signed) __________________________________________Date _____________
(Sponsor & Membership Chair are not required for renewal)