Eagle Rock ATV Association Membership Application

Member #__________________ Date Received _________________ Application for Membership - Eagle Rock ATV Association - Phone 208-542-7252 Last Name: ___________ First Name: ___________ Spouse: ___________ Street: _________________________________________________ City: ____________________ State: ____________________ Zip: ____________ Evening Phone: ____________ Work Phone: ___________ Cell Phone: ___________ Yes, please send all correspondence to my E-mail address; ___________________ Type of Membership: __ Individual $24.00 __ Family $24.00 __ Business $40.00 Membership Directory: __ Yes I would like __ No, do not list me I / We can volunteer for the following: __ Cleaning trails (removing rubbish, etc.) __ Coordinating and planning special events __ Supplying a chain saw and cutting branches from trails __ Attending political meetings and writing political letters __ Coordination and planning rides __ Being an officer, director, committee member etc. __ Searching and rescuing lost and hurt people __ Mailing, folding newsletters etc. __ Other _____________________________________________________ Read Carefully Before Signing: I/We recognize that riding an ATV is a hazardous activity that can result in serious personalinjury or death. I/We accept the risks inherent to riding with a group including, but not limited to, obstacles on and off the roads and trails, rapidly changing weather, limited visibility, variation of slope and steepness on and off trails, surface or sub surface conditions on or off the trails and roads, collisions with other ATVs including other riders and collisions with other devices used to mark the boundary of trails and roads. In consideration of my/our participation in the events and rides of the Eagle Rock ATV Association, I/We hereby release and agree to hold harmless the Eagle Rock ATV Association, their officers, directors, committees, employees and agents from all claims. I/We have carefully read this agreement and the release of liability and fully understand its contents. I/We are aware that this release of liability is a contract between the Eagle Rock ATV Association and myself/us and I/We sign of my/our free will. My/Our signature signifies that I/We have read and agree with this release. Signature: ____________ Spouse: ____________ Date: ___________ Guardian Signature: ________________________ Date: ___________ Send to: 3844 Flaming Rock Rd, Idaho Falls, ID 83401 / Eagle Rock ATV Assn.