Please PRINT! Select: Single.............
Family..........
Name
....................................................................................................................
Spouse/Other ........................................................................................................
Additional Family
..................................................................................................
Address
.................................................................................................................
City/Zip
.................................................................................................................
Phone# ................................................................................................................
EMail
....................................................................................................................
All
memberships are $20/year for Individual or $25/year for Family, cash or check made
out to Alaska ATV Club
Acknowledgement
of risk and Release of Liability must be signed and dated before the
application can be accepted.
The Alaska ATV Club is not liable
for personal insurance or personal actions performed by its members. The
undersigned hereby releases the Alaska ATV Club, it's
Directors and Officers, and its agents from all claims which the undersigned
may have in the future for personal liability and property damage that may
arise out of their participation in any club activity or event.
I hereby acknowledge that I have
read and understand the terms of this release. I execute it voluntarily with
full knowledge of its significance.
Signature......................................................Date..............
Signature......................................................Date..............
Spouse
(Guardian if under 18)