CAPE MAY COUNTY ARCHERY ASSOCIATION SEASONAL MEMBERSHIP APPLICATION

 5/1/09-8/31/09

Seasonal Applications are for summer residents only! Permanent address must be out of Cape May County.

Residency requirements at the discretion of the club                                      

___Single Membership $40.00  ___Couple Membership $45.00  ___Family Memberships $50.00

 

 NAME:__ NAME:_________________________ DATE OF BIRTH _______________PHONE__________________

ADDRESS:____________________________________________________________________________

CITY, STATE, ZIP CODE_________________________________________________________________

FOR FAMILY OR COUPLES MEMBERSHIP: SPOUSE’S NAME:________________________________

CHILDREN UNDER 18 (BIRTH DATE MUST BE AFTER September 1, 1991 to qualify)                        

NAME:_________________________________________     DATE OF BIRTH:_____________________

NAME:_________________________________________     DATE OF BIRTH:_____________________

VEHICLE #1 MAKE/MODEL ____________________ COLOR:__________________

LICENSE PLATE#___________________________________ STATE _____________

VEHICLE #2 MAKE/MODEL______________________ COLOR___________________

LICENSE PLATE#___________________________________  STATE_______________

E-Mail Address _______________________________________________________________

___Please Send me Via E-Mail any pertinent notices or information about the club

MAIL COMPLETED APPLICATION AND CHECK PAYABLE TO :

CMCAA

PO BOX 129

VILLAS NJ 08251

-------------------------------------------------------------------------------------------------------

For CMCAA use only:      DATE________________ TYPE: S C F SR J    

AMOUNT PAID$ ____________ Via ____________

MEMBER#__________________ ADDITIONAL MEMBERS: _______#,________#,_______#,_________

OTHER________________________________

 

Waiver/Release
ARCHERY CLUB WAIVER AND RELEASE OF LIABILITY
READ BEFORE SIGNING

In Consideration of being allowed to participate in any way in CAPE MAY COUNTY ARCHERY ASSOCIATION Legal name of your Archery Club
Events and activities the undersigned acknowledges, appreciates and agrees that:
1) The risk of injury from archery and other known and unknown events and activities and/or the use of the related buildings, structures, equipment, automobiles, firearms, weapons, ATV’s, boats, tree stands, roads, bodies of water, land and all other real and personal property whether owned by archery club or others is significant, including the potential for permanent paralysis and death, and while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist; and
2) I acknowledge and agree that the use of archery equipment, firearms and other weapons my myself or others on club premises or otherwise are inherently dangerous and high risk activities whether such archery equipment, firearms or weapons are discharged by myself or others; and
3) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for participation; and,
4) I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I observe and unusual significant hazard during my presence or participation. I will remove myself from participation and bring such to the attention of the nearest official immediately; and
5) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS CAPE MAY COUNTY ARCHERY ASSOCIATION (Legal name of your archery club) its officers, directors, officials, agents, employees, volunteers, members, guest, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of real property and personal property used to conduct the events and activities (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJRY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, TO THE FULLEST EXTENT PERMITTED BY LAW.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT. FULLY UNDERSTAND ITS TERMS. UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

__________________________________________ Participant’s Name
_________________________________________ Date Signed:_________________________
Participant’s Signature

FOR PARTICIPANTS OF MINORITY AGE
(UNDERAGE 18 AT THE TIME OF PARTICIPATION)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and myself, my heirs, assigns, and next of kin. I release and agree to indemnify and hold harmless the Releasees from and all liabilities incident to my minor child’s involvement or participation in these events and activities and/or the use of related real and personal property as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.
__________________________________________
Name of Parent/Guardian

__________________________________________ Date Signed_________________________
Parent/Guardian Signature
Emergency Phone Number: ( )________________
1998-2005 SADLER & COMPANY, INC ALL RIGHT RESERVED
 

 

 

 

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