Application to Join Chippewa Valley ATV Club

Chippewa Valley ATV'ers, Inc - 2008

Name_________________________________________________

Spouse________________________________________________

Children(under18)___________________________________________

_____________________________________________________

Address_____________________________________________

City______________________State________ Zip___________

Phone____________________

Is safety training required for anyone?___________

E-Mail__________________________________

Month Joined Club__________ Total for Year $_______

Individual_______Family________

Dues are $12 per year (single or family)  Year start In March

if you join after March your first years dues are prorated at $1 per month

(April=$11 / May=$10 / June=$9 / July=$8 / Aug=$7 / Sept=$6 / Oct=$5 Nov=$4 / Dec=$3 / Jan=$2 / Feb=$1)

If joining after December Make it easier and join for the following year by adding$12

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___ Would you like to receive a paper version of the newsletter in print form Y________N_______   Comments:

___________________________________________________________________________________________

___________________________________________________________________________________________

Read carefully before signing: The undersigned applies for membershipin 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___________________

Mail To:

Chippewa Valley ATV Club

Attn: John Wilson

P.O. Box 633

Chippewa Falls, WI 54729