Application to Join us!

Chippewa Valley ATV'ers, Inc Membership Application

Name_________________________________________________

Spouse________________________________________________

Children(under18)________________________________________

_____________________________________________________

Address_______________________________________________

City______________________State________ Zip___________

Phone____________________

Is safety training required for anyone?___________

E-Mail__________________________________ (used only for club purposes!)

Month Joined Club__________ Total for Year $_______

Individual_______Family________

Dues are $15 for Individuals and 20$ Per year for a Family Membership.  The year begins in March so if you join after March, your first years dues are pro-rated at $1.25 and $1.75 per month.

(Individauls:   April=$13.75 / May=$12.50 / June=$11.25 / July=$10 / Aug=$8.75 / Sept=$7.50 / Oct=$6.25/ Nov=$5 / Dec=$3.75 / Jan=$2.50 / Feb=1.25)

If joining after December Make it easier and join for the following year by adding$15 for Individual or $20 for Family!

Activities conducted by Chippewa Valley ATV'ers, are made possible through the efforts of members who invest time and energy in their club. Please indicate if you are willing to participate in special committees.Y___N___

To help with costs, Newsletters will be e-mailed to each club member and it is posted on the website for you to enjoy.  If you still wish to have a newsletter emailed to you, please indicate Y______ N________

Comments:

___________________________________________________________________________________________

___________________________________________________________________________________________

Read carefully before signing: The undersigned applies for membership into the Chippewa Valley ATV'ers, Inc and does herby agree to abide by all club rules and by-laws. I also acknowledge the risk of injury to my person and property while participating in ATV events. I will rely on my own judgement and ability while participating in club events and assume all risks of injury or damage arising out of such participation. I will not sue or make any claim whatsoever against the Chippewa Valley ATV'ers or to any organizers of club events as a result of such participation.

Signature_________________________________Date___________________

Signature_________________________________Date___________________

You can bring to the meeting or Mail along with your check to:

Chippewa Valley ATV Club

Attn: John Wilson

P.O. Box 633

Chippewa Falls, WI 54729