Membership form

  It's more than fishing ... it's a way of life.

Membership form

                               ENGLEWOOD FISHING CLUB

                           Membership Application/Renewal

Check One___ New Membership___ Renewal        Check One___ Single___ Family, # in Family ____

  Englewood Fishing Club is on a calendar year basis, running from January 01 to December 31 of each year. Dues are $45 per year for both single and family membership.  After October 1, full dues are required and membership will be valid for the remainder of the year and all of the following year.

 IN CONSIDERATION of being permitted to participate in ENGLEWOOD FISHING CLUB sponsored activities, I, for myself, my personal representatives, assigns, heirs, and next of kin: 

(1) ACKNOWLEDGE, agree and represent that I understand the nature of fishing and boating activities and that I am qualified, in good health and in proper physical condition to participate in club activities. I warrant that at any time I believe conditions to be unsafe, I will discontinue further participation in the Englewood Fishing Club. 

(2) UNDERSTAND, that; (a) fishing and boating activities involve risk and dangers of serious bodily injury, including permanent disability, paralysis and death; (b) these risks and dangers may be caused by my own actions or inactions, the actions of others participating in the activity, the condition which the activity takes place, or the negligence of the “Releases” named below; (c) there may be other risk and social and economic losses either not known to me or not readily foreseeable at this time; hence I fully accept and assume all such risk and all responsibilities for losses, cost and damages I incur as a result of my participation in the Englewood Fishing Club activities. 

(3) HEREBY release, discharge and covenant not to sue Englewood Fishing Club, the respective administrators, directors, agents, officers, volunteers, and employees, other participants, sponsors, advertisers, owners and lessors of premises on which the activities take place (each considered one of the “Releases” herein) from all liability, claims, demands, losses, or damages on my account caused in whole or in part by the negligence of the “Releases” to include negligent rescue operations; I further agree that if, despite this Release and Waiver of Liability, assumption or risk, and indemnity agreement. I, or anyone on my behalf, makes a claim any of the “Releases”, I will indemnity, save, and hold harmless each of the “Releases” from any litigation expenses, attorney fees, loss of liability, damage, or cost which may occur as a result of such claim.

  I HAVE READ THIS AGREEMENT, fully understand the terms, understand that I have given up substantial rights by signing it, and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid, the balance shall continue in full force and effect. NAMES(S)_______________________________________________________ 




SIGNATURE(S)_____________________________    DATE:___________

Mail form & check to: John Livecchi, 20206 Astoria Ave., Port Charlotte 33952

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