WVWA Membership Application

Complete this form, print it, sign and date it, and mail it with your check.
Check one: New Membership Renewal
Where did you hear about us? 
Name:
Address:
City, State zip:
Home Phone:   Work Phone:
Briefly describe your paddling experience:
Type of boat: Kayak Decked Canoe  Open Canoe Raft  Other (specify)
Years of experience:    Class of water run comfortably (I-VI):
Rivers run:
Email addressName (first and last)
Check here  if you do NOT want your name, address, and phone number released to conservation and river groups for special mailings and fundraisers.
Select one: $20 - Online only access to the WVWA newsletter (no mailed copy)
 $25 - Mailed copy of the WVWA newsletter (you still have access to the online copies)

In applying for membership to the West Virginia Wildwater Association (WVWA), I acknowledge that paddling, like many sports, has inherent dangers which can be minimized through education and experience, but cannot be totally eliminated I hereby, for myself, my heirs, executers, and administrators waive any and all rights and claims for damage I may have against the WVWA, its officers and representatives for injuries suffered by me in WVWA activities.

Signature: Date:

Make your check payable to West Virginia Wildwater Association. Mail it and this application to:
   West Virginia Wildwater Association, c/o Turner Sharp
   P.O. Box 4751
   Parkersburg, WV 26104-4751