Title

MEMBERSHIP APPLICATION

  Dues are $100.00 for new members, $60.00 for returning members who kept their membership active


NAME:__________________________________

EMAIL:______________________________________


ADDRESS:____________________________________________

           _____________________________ZIP____________

PHONE: ______________ AMA #________________ YEARS MODELING:_______

E-MAIL ADDRESS:_________________________________________________

RADIO FREQUENCIES
(CHANNELS USED & NUMBER OF EACH): ______________________________________

MODELING EXPERIENCE (INCLUDING PREVIOUS CLUB MEMBERSHIPS)

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

PRIMARY INTERESTS/SKILLS:

( ) BUILDING ( ) ELECTRONICS
( ) COVERING ( ) CONTEST JUDGE
( ) PAINTING( ) CONTEST DIRECTOR
( ) INSTRUCTOR ( ) DESIGN/EXPERIMENTAL
( ) PATTERN ( ) OTHER: _______________________________
( ) SCALE _________________________________________
( ) SPORT _________________________________________
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BY ACCEPTING MEMBERSHIP, I HEREBY AGREE TO ABIDE BY THE RULES, BY-LAWS AND REGULATIONS GOVERNING CLUB FLYING AND RELATED ACTIVITIES, AND WILL MAINTAIN CURRENT MEMBERSHIP IN THE AMA FOR AS LONG AS I ACTIVELY PARTICIPATE IN SAID ACTIVITIES WITH THE CLUB.

IN CONSIDERATION OF MY USE OF THE CLUB FLYING FACILITY, I AGREE TO INDEMNIFY AND HOLD HARMLESS THE LAND OWNER. THE MEMBERS AND OFFICERS OF THE BARNYARD BUZZARDS MODEL AIRPLANE CLUB, INC. FROM AND AGAINST ALL CLAIMS, DAMAGES, LOSSES AND EXPENSES, INCLUDING REASONABLE ATTORNEYS' FEES IN CASE IT SHALL BE NECESSARY TO FILE AN ACTION SUIT ARISING OUT OF MY PRESENCE AND USE OF THE FLYING SITE, WHICH IS FOR BODILY INJURY, ILLNESS, OR DEATH, OR FOR PROPERTY DAMAGE, CAUSED IN WHOLE OR IN PART BY MY NEGLIGENT ACT OR OMISSION.


SIGNATURE:__________________________________________________ DATE:_________________


SPONSOR:________________________ AMA CARD VERIFIED BY:__________________________


CLUB SECRETARY:_____________________________________________ DATE:_________________

Please mail the completed form and a photo copy of your AMA membership to:
Chet Blake
PO Box 817
Gold Bar, WA. 98251
(425) 673-9369
chetblake@comcast.net

One of the club officers will contact you, once your application has been reviewed. It is recommended that you attend one of our club meetings and/or stop out at our club flying field so that you'll have a chance to meet some of the club members and allow them to meet you.

Last Updated: January 7, 2007

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