Information and Membership Form (2021)
Mahalo for paddling with the Cayuga Outrigger Canoe Club!
Check out our website at
. All guest paddlers and members must fill out this online form (as well as the insurance and covid consent form) prior to paddling. This online form should take about 5 minutes to complete.
* Information provided will be used for official Cayuga Outrigger Canoe Club (COCC) purposes. Only contact information will be available to current club members and personal information will not be sold or otherwise distributed.
Name of parent/legal guardian (if participant is under the age of 18) who is authorizing the liability waiver
Street address, City, State, Zip
Mobile phone number (or best number to reach you)
Emergency contact information
Name and cell number of someone not paddling with you
Do you have any health conditions that could impair you and/or be aggravated by this sport? If yes, please describe them and how best to help you in case of emergency:
Limited (doggy paddle, can stay afloat)
Advanced (strong swimmer)
American Red Cross certifications
Do you have paddling experience?
I'm new to paddling
Stand Up Paddleboarding
Dragon Boat Paddling
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