Skipper's Name *

First Name

Last Name

Skipper's Phone *

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

First Mate's Name

First Name

Last Name

First Mate's Phone

(###)

###

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Crew Name (1)

First Name

Last Name

Crew Name (2)

First Name

Last Name

Crew Name (3)

First Name

Last Name

Crew Name (4)

First Name

Last Name

Crew Name (5)

First Name

Last Name

Crew Name (6)

First Name

Last Name

Membership Type *

Please select your membership type

Family Membership - $20 per season

Senior Membership (over 65) - $10 per season

Release, Waiver and Covenent Not to Sue *

This Agreement contains a release and waiver – READ FIRST The membership applicant and all those listed as Club members via this application acknowledge that in consideration of the efforts of the Lake Saint Louis Sailing & Paddling Club (LSLSPC) and Lake Saint Louis Community Association (LSLCA), for being allowed to participate in club activities, including but not limited to sailing and kayak lessons and certification, and the acceptance of this application to participate in the club activities, he/she does hereby waive and release any and all claims the applicant or other family members may have against the LSLSPC and/or the LSLCA, their officers, trustees and committee members, agents and representatives arising out of the activities required for sailing, kayaking and other paddling sports, and does further covenant and agree not to sue or to bring any claim or claims of any nature against the LSLSPC, LSLCA or any of the persons and officers named, or unnamed, above who may be acting on the LSLSPC’s or LSLCA’s behalf.

I agree to the terms of this Release/Waiver

LSLCA Membership *

I am a member of the Lake Saint Louis Community Association.

Yes