MEMBERSHIP AGREEMENT / RELEASE OF LIABILITYMembership Agreement / Release of Liability • May 13th, 2021
(PRINT) Member Name or Parent/Guardian Name Signature Date Address City, State Zip Mobile Phone Number E-mail address Member Date of Birth Dependent: Minor Member Name Dependent Date of birth EMERGENCY CONTACT Mobile Phone Number
MEMBERSHIP AGREEMENT / RELEASE OF LIABILITYMembership Agreement / Release of Liability • January 8th, 2019
Telephone number(s) E-mail address Member Date of Birth Dependent: Minor Member Name Date of birth EMERGENCY CONTACT Telephone #1 Telephone #2
