MEMBER APPLICATION

Indian River ATV Club Inc.

     PO BOX 272  Theresa, NY 13691 

Name:_________________________________________________

Address: _______________________________________________

City, State, & Zip Code: ___________________________

Telephone #: ___________________________________________

Email Address: _______________________________________

Type of ATV:___________________________________

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 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 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.)