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Join us: If you would like to join the Long Island Flyrodders, click here for a printable application form. Fill it out completely and mail it with the appropriate remittance to:
LIFR |
P.O. Box 8091 |
Hicksville, NY 11802 |
The undersigned hereby applies for Membership or Renewal in the Long Island Flyrodders, Inc. (LIFR). I understand the inherent risk of participating in the activities of LIFR, including fishing trips of one day or longer, which LIFR may make available to the members. I understand that LIFR activities may take me into remote areas, and that I may not be able to be promptly evacuated or receive proper medical care in the event of injury or disease. I further understand that I am solely responsible for all costs of medical treatment and transportation.
Intending to be legally bound for myself, my heirs, executors and administrators, except to the extent that indemnity insurance is available, I waive, release, indemnify and hold harmless LIFR, its Officers, Board of Directors and members against any and all claims for personal injury, disease, death and property damage or loss that I may incur, arising out of or connected in any way with any and all LIFR activities. I assume the risk of undertaking all LIFR activities including related travel.
Print name: (F)__________________ (MI)___ (L)_______________________
Address:_________________________________________________________
Phone: home ( ) office ( ) ext
In case of emergency, when reasonably feasible, contact:
Name:____________________________ Relationship:____________________
Phone: home ( ) office ( ) ext_________
Dues: (Circle one) Regular $40 Family $45 (children under 16) Junior (under 18) $15
Family Application must be signed by each Member and Guardian, as applicable.
Signature(s): Date:
E-Mail Address (Optional)___________________________
Consent given to post on LIFR Web Site: Yes ( ) No( )