I am:

A New Member (1st time with LCC)

A Returning Member (renewing for 2022)

My Membership Profile

Please complete all required fields for your profile and selection of Club Activities.
Please pay online, if you really need to pay by check or cash, we can make arrangements.

Hidden

Membership End Date

Month

Day

Year

Name:(Required)

Legal name please, for the paddler.

First Last

Birthdate(Required)

MM slash DD slash YYYY

Age on January 1st, 2022(Required)

Years of Age. Whole numbers only. Example: 28
Youth Paddling registration is closed for 2022.

Please enter a number from 7 to 99.

Paddle Shirt Size

XS

S

M

L

XL

XXL

XXXL

Parent or Legal Guardian(Required)

First Last

Consent(Required)

I am the parent or legal guardian of the registrant, who is a minor, and I agree to allow them to participate in LCC's 2022 paddling season.

I Consent

COVID Vaccinated

Fully Vaccinated (2 doses of Moderna or Pfizer; or 1 dose J&J)

Not yet

Booster?

Yes

No

Gender Identification:(Required)

Male

Female

Non-Binary

Email(Required)

Cell Phone(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

New or Experienced Paddler?(Required)

LCC welcomes new paddlers, but for your safety and the safety of all our members, you'll be required to participate in a series of training sessions in March, before you are allowed to paddle in a six person canoe with us. Mahalo nui for your kōkua to keep us all safe.

If you have paddled with ILH, OIA, Na'Oipo, or are transferring to LCC from another canoe club, please provide the name/organization and of the club and the most recent year you were active. You may also describe your paddling or coaching experience if you wish.

Any medical problems we should be aware of?(Required)

Can You Swim?(Required)

Yes

No

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

(For applicants under 18, please list a parent/guardian as the emergency contact. You may add additional information or contacts in the "additional information" box below.

Is there any additional Information you wish us to have?

Upload Identification Document (Drivers license, passport, military ID, birth certificate, etc.)

Max. file size: 4 MB.

Upload digital picture of face (for paddling ID). No hats or sunglasses, like a passport photo.

Max. file size: 4 MB.

If you are unable to upload, you may bring them to the Long House or a membership event. Or email your photos to desibill@lanikaicanoeclub.org

Sign the HCRA WAIVER: LCC will process the waiver for you, conveying it directly to HCRA (Hawaiian Canoe Racing Association Insurance Program).(Required)

Hawaiian Canoe Racing Association Insurance Program Canoe Club: LANIKAI CANOE CLUB Adult and Minor Waiver and Release of Liability January 1, 2022 to December 31, 2022
In consideration of being allowed to participate in any way in the Hawaiian Canoe Racing Association and its member organizations’ athletics/sports programs, and related events and activities, the undersigned:
1. Agree that prior to participating, they each will inspect the facilities and equipment to be used, and if they believe anything is unsafe, they will immediately advise their coach or supervisor of such condition(s) and refuse to participate.
2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence, but the action, inaction or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.
3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.
4. Release, waive, discharge and covenant not to sue the Hawaiian Canoe Racing Association, its member associations, its affiliated clubs, their respective administrators, directors, agents, coaches, and other volunteers or employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as “releasees”, from demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise.
The undersigned custodial parent or legal guardian acknowledges that he/she is also signing this release on behalf of the minor participant, that he/she is waiving certain rights on behalf of the minor participant that the minor participant otherwise may have and that the minor participant shall be bound by all of the terms of this release. By signing this waiver and release without a parent’s or guardian’s signature, the participant represents he/she is at least 18 years of age, or, if signing as the parent or guardian of the participant, signer represents they are the custodial parent or legal guardian of the minor participant.
THE UNDERSIGNED HAVING READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT THEY HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.

Sign LCC Membership Agreement

Under 18 yrs of age, PARENT or LEGAL GUARDIAN must sign for the youth registrant.

Signature(Required)

Membership dues and activity fees are non-refundable, non-transferable, and not prorated. If circumstances arise that are outside the LCC's control, activities may be suspended or rescheduled. I will adhere to all club rules.