Santa Lucia Flyfishers

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P. O. Box 166 

San Luis Obispo, CA 93406

Membership Application & Annual Renewal

Membership Annual Dues (check one): ____ Annual renewal Dues, payable by February 1st - $35

                                                                 ____ New Member Dues, January 1 to June 30 -  $35

                                                                 ____ New Member Dues, June 30 to December 31 - $20

IMPORTANT All members are required to sign the Members Release Agreement on the bottom portion of this form to assure continued SLFF insurance coverage. Please sign, date and send in with this application and your check for your annual dues payable to:

Santa Lucia Fly Fishers

C/O Secretary

P.O. Box 166

San Luis Obispo, CA 93406

(Enter your name as you want it spelled on your name badge)

Name: ___________________________________________________ Name of Spouse:____________________

Address: __________________________________________________ Phone (home):_____________________

City, State, Zip: ___________________________________________ Phone (work): ______________________

E-Mail: _____________________________________________________ Cell Phone:______________________

- A club roster is published and also sent to members via email. Do you wish your name to be listed?  ___YES  ___NO

- The monthly Newsletter, as well as all club communications to members, will be sent to you via email. If you do not have an email address, we will send you the Newsletter via U.S. mail, but you will miss out on outings notices and many other club participation opportunities.

- We want our club to meet your needs. Please check all of the following activities for which interest you:

 Conservation____    Membership_____    Newsletter____     Programs & Meetings____    Outings____    

 Banquet &  BBQ____   Website____    Raffle____   Fly Tying____   Casting____   Rod Building____    

 Officer/Board Member____

-How would you describe your fly fishing experience?   None____   Limited____   Some____   Extensive____


In consideration of my application for membership in Santa Lucia Fly Fishers and participation in the club’s events/activities, I hereby waive, release and discharge any and all claims for damages, for death, personal injury or property damage which I may have or which hereafter accrue to me, against Santa Lucia Fly Fishers as a result of my participation in the activities of the club. This releases the Santa Lucia Fly Fishers Board Members, Officers, Committee Members and Members from and against any and all liability arising out of or connected in any way with my participation in the events/activities even though that liability may arise out of the negligence or carelessness on the part of the persons mentioned above.

Club activities often involve or occur in and around water, such as but not limited to, wading and boating. I fully  understand and accept that there are dangers in participating in club activities, including drowning, hypothermia, and slipping and falling. I am entering into these and all other club activities voluntarily, knowing the risks. Nevertheless, I hereby agree to assume those risks and to release and to hold harmless all of the persons mentioned above who (through negligence or carelessness) might otherwise be liable to me (or my heirs or assigns) for damages. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns.

I have read this entire Release Agreement; I fully understand it and I agree to be legally bound by it.



                                            Member’s Signature


                                                   Print Name



REV 01/25/2015