SCDBC Membership Form
Teams belonging to the Southern California Dragon Boat Club (SCDBC) shall not discriminate against any team member or guest because of race, age, color, religion, sex, sexual orientation, or national origin. Teams shall take affirmative action to ensure that their members or guests are able to participate in all or any activities, and that they are treated, without regard to race, age, color, religion, sex, sexual orientation, or national origin.

The SCDBC is committed to providing a safe, healthful environment that is free from violence or threats of violence. The club does not tolerate behavior, whether direct or through the use of beach or indoor training facilities, property or resources that:

• Is violent;
• Threatens violence;
• Harasses or intimidates others;
• Interferes with an individual's legal rights of movement or expression; or,
• Disrupts the dragon boat paddlers’ environment or the club’s ability to provide service to the public.

Violent or threatening behavior can include: physical acts, oral or written statements, harassing email messages, harassing telephone calls, gestures and expressions or behaviors such as stalking. Individuals who engage in violent behavior may be removed from the premises, and may be subject to dismissal or other disciplinary action, arrest and/or criminal prosecution.

The SCDBC recommends you consult your physician or medical professional prior to participating in this activity as it may be too physically strenuous for certain individuals, and as such, your medical professional should determine whether dragon boating is appropriate for you. Remember, please consult your doctor before starting any exercise program.

Membership Status? *
First Name *
Your answer
Last Name *
Your answer
E-mail *
Your answer
Verification Code *
If you have not received a SCDBC verification code, please click here to request one: http://tiny.cc/scdbcIDverification
Your answer
Date of Birth *
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DD
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YYYY
Gender *
Team Affiliation *
CPR-Certified? (Expiration Date)
If YES, please enter Expiration Date. If NO, leave blank.
MM
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DD
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YYYY
First Aid Certified? (Expiration Date)
If YES, please enter Expiration Date. If NO, leave blank.
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DD
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YYYY
Do you have medical insurance? *
Physical or Mental Conditions?
Do you have any physical or mental conditions that may affect your ability to paddle safely? (If none, leave blank)
Your answer
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