Keel-Hauler Membership Application
Please fill out all applicable information

Read Waiver "Member's Mutual Agreement for Protection from Liability" at this Link - Read the Waiver
I agree to liability Waiver
I agree to liability Waiver
I am a current club member
I am a current club member
Last Name
First Name
Spouse or Other Last Name
Spouse or Other First Name
Address
City
State
zipcode
zip+4
Choose all paddling interests.
Paddling Interest - White Water
Paddling Interest - WW
Paddling Interest - Sea Kayaking
Paddling Interest - SK
Paddling Interest - Flat Water
Paddling Interest - FW
Paddling Interest - Canoe Camping
Paddling Interest - CC
Home Phone
Cell Phone
Work Phone
List Work or Cell in yearbook
Cell
Work
Child Name/Birth Year
Primary E-Mail
Alternate E-Mail
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Share only with KHCC Board Approval Do not Share my Information with anyone
No yearbook Info
Do Not put my info in yearbook or listing

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Membership Cost and Terms

* Club Membership Year ends Oct 1st no matter when you join.
* Membership Dues are $20.00 Per Year.
* If you join from July 1st to August 15th dues are only $10.00.
* New members will be mailed a Keel-Hauler Yearbook
* The December newsletter is the last one that you will receive until you renew.

Web Author:  John Kobak;  Treasurer - Kelly Miller
Copyright © 2008-21 Keel Haulers Canoe Club.  All rights reserved.
Revised:11/07/20