New Applicant_____ Renewal _____
Name(s) _______________________________________________ Tel # _____-_____-_____
Address ______________________________________________________ Zip ____________
Name(s) and age of children ___________________________________________________________
How did you hear about this club? ______________________________________________________
1. How experienced would you consider you and your family? (beginner, paddled a bit, very
experienced, etc) ________________________________________________________________
2. Give a sample of the rivers you have paddled.__________________________________________
3. Have you ever been a Trip Leader ? _____If so, which river and for which club? ______________
(The law requires that life jackets must be worn during the months of September through May.
We require children to wear them at all times. Floatation cushions do not replace life jackets)
3. A spare paddle and ropes for both ends of your boat are suggested.
III Interests (check all items that you are interested in)
Instruction: Getting paddling instructions _____ Giving paddling instructions _____
Flatwater _____ Moving water _____ Whitewater _____
Day trips _____ Weekend camping/paddling trips _____
Photography _____ Birding _____ Other_______________________________
Becoming a Trip Leader _________________
>> New & Renewal Applications should be sent to the secretary:
: Kathy Turner 9 Pinteree Dr., West Bridgewater, MA 02379 $_____
>> Wampanoag Paddlers Decals are available for your car or boat __ @ $3 each $_____
Make checks payable to " Wampanoag Paddlers" Total enclosed $_____
By applying for membership and signing your name below, you relieve the Wampanoag Paddlers of the responsibility for any damages incurred by you, your family, your guests, and/or your property.
___ a check here indicates that a schedule has been sent with this application