Northwest Indiana Paddling Association Membership Form
If you are interested in joining the Paddling Club, please fill out this form or contact Dan Plath @ 11645 W. 50 N. Westville, IN 46391, Phone (219) 879-3084.
Please provide your Contact Information:
Name: ______
Address: ______
Phone # ______
E-Mail: ______
Which type of paddling do you typically do?
Canoeing Kayaking Both I don’t currently, but I am interested in joining
Where do you do most of your paddling? (Check all that apply)
Great Lakes Smaller InlandLakes Whitewater Rivers & Creeks Anywhere with H2O
Do you currently own a Canoe or Kayak?
Yes No
What Kind? ______
How would you rate your Paddling Skills?
Advanced Intermediate Novice Little to no experience, but would like to get involved
Are you a member of any other Paddling Club?
Yes No
(If yes, who?)______
Are you a member of any other conservation or civic organizations? ______
______
What interests you most & hope to accomplish through the paddling club?
(Please check all that apply)
Promoting Canoeing & Kayaking (ecotourism) in Northwest Indiana
Increasing Recreational Paddling Opportunities Throughout the Region
Supporting Ecological Conservation and Restoration Efforts
Increasing Public Access and Helping to Enhance Our Water Trails (log jam removal, beach & river cleanups, etc.)
Promoting Canoe & Kayak Knowledge and Safety
Advancing your Paddling Skills & Knowledge
Partnering on Projects with Other Paddling & Conservation Organizations
Supporting Environmental and Outdoor Recreation Educational Efforts
(Example: teaching kids how to canoe & kayak while learning about their surroundings)
Providing a Voice for Canoeists and Kayakers throughout the Region
Finding New Friends Interested in Canoeing and Kayaking
Getting out & having Fun Paddling our Wonderful Waterways!!!
Paddling Trips Outside of The Region
Other interests or ideas
______
Any special skills, abilities, interests, or ideas that you would like to share that could help the group? (Example: web design experience, teaching experience, ecological expertise, graphic arts, specialized trade, writing skills, etc.)
______
Which Current NWI Paddling Events are you most Interested In? (Check all that apply)
Michigan City Eco-Fit Challenge
Trail Creek Fun Float
The Marquette to BurnhamSea Kayak Expedition
Are you interested in serving on a paddling club committee?
Yes No Maybe
For the newsletter, which do you prefer?
An Electronic Copy
A Paper Copy