MEMBER APPLICATION

Indian River ATV/Snowmobile Club Inc.

E-Mail: mstephenson@twcny.rr.com

website http://indianriveratvsnowmobileclub.20m.com

Name:_________________________________________________

Address: _______________________________________________

City, State, & Zip Code: ___________________________

Telephone #: ___________________________________________

Email Address: _______________________________________

Type of ATV/Snowmobile:___________________________________

Type of Membership

(Check One):

Family - $25/year ( )

Single - $15/year ( )

Waiver:

I, the undersigned, waive all rights from accident or injury while participating in any event sponsored by the Indian River ATV/Snowmobile Club Inc. I fully understand that the sport of ATV/Snowmobile riding is dangerous, and involves the risk of injury or death. All members must follow DMV, DEC, Local and State Laws. I will not file suite against the Indian River ATV/Snowmobile Club Inc., it’s Officers, Board of Directors/Members or any landowner where, on or near designated trails, rides or facilities are located.

Signature: ______________________Date: _____________

Parent/ Guardian Signature:__________________________

(Required if individual seeking membership is under the age of 18 years old.)