Home Up News' 09-'10 Site Map TRACTOR BAG ABOUT US

    Water Works Canoe Company 

     Mansfield Center, CT 06250 

       The Bag Lady -nobody does it better!

       Phone 860-456-4906 email: baglady@charter.net 

July shutdown soon to take place, bag orders placed before July 1 will be delivered. However, we are taking a mid-season break and will not be back sewing until the third week in July. Call for details                      The Bag Lady also makes canoe top covers!

Home Up

Columbia Canoe Club, Inc.

Membership Application and Renewal Form- Only needed if information has changed. BUT EVERYONE MUST COMPLETE a new ACA (American Canoe Association)  waiver     and submit IT yearly. Your application can not be processed until all paperwork is complete.

 

Date Completed:______________________ New:___________ Renewal:__________

Name:________________________________________ Date of Birth:______________

Address: _______________________________________________________________

Address 2: ______________________________________________________________

City:_______________________________________________ State_______________

Home Phone:________________________ Emergency Number:_________________

Email:____________________________________________ (will not be publicized)

Membership runs from April 1- through March 31 of following year regardless of when received.

_____ Check here if you are willing to let us release your phone number to other club members so they can contact you about paddling events or opportunities to paddle. It will not be released for other reasons.

__________ If you would prefer to be contacted by email, check here.

__________ We recommend checking with a physician prior to participating in this or any physical activity. Do you have any medical condition / and or a prescribed medication that may impact on water activity of which we should be aware? Please describe below, use back if needed.

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

Any sport has an element of risk and paddling is no different. I assume foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death. I agree to wear my lifejacket when using club equipment during on water activities. I will not paddle alone.

_____________________________                        ___________________________________

Printed name of applicant  (clearly please)                             Signature of applicant

_________________________________                      _____________________________

Printed name of parent if minor                                    Signature of parent if minor

February 2010

 

 

Nobody does it better than the BAG LADY. 

OVER 30 YEARS OF MAKING BAGS!!!!