Georgia Canoeing Association, Inc.
    P.O. Box 7023 • Atlanta, Georgia  30357
    www.georgiacanoe.org • Email: gacanoe@mindspring.com 		 • TRAINING
 • SAFETY
 • RACING
 • CONSERVATION
 • EXPLORATION
 • RECREATION

MEMBERSHIP APPLICATION

 

To join, you need only to:
1. Complete the Membership Information section below.
2. Complete the Newsletter Subscription section below.
3. Select the options you prefer in the Dues section.
4. Complete and sign (you and all paddling family members) the Waiver and Release of Liability.
5. Submit payment to Paypal.


MEMBERSHIP INFORMATION - Complete the form below as you want to be listed in the GCA Membership Directory. Yearly membership is for twelve months from the date you join.

Membership Application Type:
 New Member
 Renewal
Primary Names on Membership (Limit 2):
Street Address:
City:   County:   State:   Zip Code:
Home Phone: Alt Phone 1: Alt Phone 2:
Email ID 1:   Email ID 2:
Other Paddling Family Members:


NEWSLETTER SUBSCRIPTION - Complete the statement below to receive The Eddy Line, newsletter of the Georgia Canoeing Association:

I, , apply for membership in The Georgia Canoeing Association, and am remitting $35.00 as my membership dues for the next 12 months, or $350.00 for a life membership. Please send my copy of The Eddy Line as indicated below:
Electronic copy only (Preferred -- save a tree!)
Paper copy only
Both paper & electronic copies

Note: You may opt to receive The Eddy Line as a paper copy, via email, or both. The default is email unless you specify preference for a paper copy. Email delivery of The Eddy Line provides a .pdf file sent to your email address. Email delivery requires use of a computer with access to the internet and a valid email ID. Be sure to specify your email address in the Membership Information section above.

 

DUES - Annual dues are $35.00. Life member dues are $350.00. Fill in the appropriate blanks below:

Dues (Yearly $35.00 or Lifetime $350.00) $
Optional contribution to the GCA River Access Fund $


ASSUMPTION OF RISK AND RESPONSIBILITY AND RELEASE OF LIABILITY

I, , in consideration for membership in the Georgia Canoeing Association (the "GCA") and to become a joint adventurer in GCA activities hereby declare as follows:
1.   I understand that boating and other activities in which I will engage with GCA are inherently dangerous and will expose me to various hazards, both natural and man made, which could result in significant risk of injury (including permanent disability and death) as well as severe social and economic losses. The hazards and dangers to which I will be exposed involve ever changing and unpredictable water and other natural conditions, defective or improper equipment, the actions and inactions of my fellow adventurers who may be negligent, and other unknown or unforeseeable risks and dangers.
2.   I know and appreciate the dangers described above. I choose to proceed with GCA activities and expressly assume and accept full responsibility for the consequences of my exposure to all risks, hazards and dangers which I may encounter as a joint adventurer in any GCA activity. I also assume and accept full responsibility for determining the adequacy of my skill, equipment and physical condition to engage in any GCA activity.
3.   I know and understand that I may assist my fellow adventurers to the best of my own ability if they appear to need such assistance, but only for so long as I can do so, in my judgment, without unreasonably endangering myself. I further understand that I have no legal obligation to assist, and that neither my fellow adventurers nor any other member or guest of GCA has any legal obligation to render assistance to me. NOW THEREFORE, I release and agree to hold harmless and not to bring any legal action against the GCA, its directors, officers, leaders, coordinators, instructors, members or guests, either personally or as representatives of GCA, arising out of relating to any and all claims, demands, damages, injuries to person or property, actions or causes of action for any acts of active or passive negligence (except willful or wanton negligence or misconduct), arising out of or connected with my participation in any GCA activity. This release is given to enable my joint adventurers and me to feel free to participate in GCA activities and to donate our services to help each other without fear of liability. This release is given in consideration for similar releases granted or to be granted to my benefit by other GCA members and joint adventurers on GCA activities. This release has no expiration date and shall be deemed reaffirmed each time I participate in any GCA activity.
I HAVE READ AND UNDERSTAND THE ABOVE ASSUMPTION OF RISK AND RESPONSIBILITY AND RELEASE OF LIABILITY. I SIGN IT VOLUNTARILY AND KNOWINGLY THEREBY GIVE UP SUBSTANTIAL RIGHTS.
Electronic Signature:   Date:   Age:
Electronic Signature:   Date:   Age:
Electronic Signature:   Date:   Age:
Electronic Signature:   Date:   Age:


(If any of the above is under 18 years old, the following statement must be signed by a parent or legal guardian.)

I, , have read and understood the above waiver and release of liability, and agree to be bound by its provisions. As parent/legal guardian of the above-named minor(s), I hereby grant permission for him/her/them to participate in GCA events and activities.