BCC Membership Application
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Email Address *
Today's Date *
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Your Name *
Membership Type *
Additional Members (if family membership selected)
College / School / University Affiliation (if student membership selected)
Allergies or medical information we need to know about? *
Phone Number *
Interest of paddling and participation in BCC (i.e., flatwater/whitewater, experience, watercraft used) *
I understand that my participation in and with the Birmingham Canoe Club, Inc. (“Birmingham Canoe Club, Inc.” or “Club”) and any of its sponsored, hosted, scheduled, or arranged events, programs, functions or activities (“activities”) is a voluntary activity. I am aware and understand that the activities of the Club, including canoeing and kayaking, are potentially dangerous and involve the risk of serious injury, disability, death, and/or property or other damage. Notwithstanding the risk, I acknowledge that I am voluntarily participating in and with the Club and its activities, with knowledge of the danger involved and hereby agree to accept and assume any and all risks of injury, disability, death, and/or property or other damage arising from my participation and membership in the Club. In consideration of being allowed to join and participate and/or volunteer in activities of the Club, I hereby agree to ASSUME THERISKS OF PROPERTY OR OTHER DAMAGE, INJURY, ILLNESS, OR DEATH in any way associated with such activities and participation. I agree to RELEASE, DEFEND, INDEMNIFY, AND HOLD HARMLESS the Birmingham Canoe Club, Inc., its officers, members, employees, representatives, volunteers, agents, successors and assigns, for any and all rights and claims for injury, death, illness, property or other damage, including attorney fees, I now, or may hereafter have, whether known or unknown, in law or in equity, and arising from or in any way connected with my participation in or with the Birmingham Canoe Club, Inc. and its activities. I agree that the terms stated herein shall also serve as a WAIVER OF LIABILITY AND ASSUMPTION OF RISK for my heirs, estate, executor, administrator, assignees, and for all members of my family. *
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