Rocky Mountain Canoe Club -- Membership Application

Because of the risks of this sport, and the miracle of our modern legal system, you MUST
include our club waiver form with your application. Get a printable copy of the waiver here:

Rocky Mountain Canoe Club waiver form

PLEASE PRINT:

Member Renewal______ New Membership______

Name(s)_______________________________________________________________________________

Address_______________________________________________________________________________

City____________________________________________ State___________ Zip______________

Home Phone_______________________________ Work Phone_______________________________

FAX_______________________ E-mail____________________________________________________

Needs:		Preferences:
Please check all that apply:
Need a partner	_____	Lakes	_____
Need a boat	_____	Moving water	_____
Need instruction	_____	White water	_____
Want to volunteer	_____	Tripping	_____
Want to lead a trip	_____	Racing	_____

Dues are $20 per household per year.
Please make checks payable to ROCKY MOUNTAIN CANOE CLUB.
Mail this form, a completed RMCC waiver form, and your check or money order to:

ROCKY MOUNTAIN CANOE CLUB
c/o Kathy Ashworth
Box 18064
Boulder, CO 80308-1064
For more information call:
303-473-9234

RMCC rev. 2004-jul-6