ROSSMOOR TRAILS CLUB
TRAILS CLUB OF ROSSMOOR – 2010 MEMBERSHIP RENEWAL/APPLICATION
Membership Application USE SEPARATE FORM FOR EACH HIKER (Couples pay rates below)
(please print)
Name(s) _________________________________________ Phone _______________
Address __________________________________________________ Entry _______
Cell Phone ________________________________
__Ambler
__ Rambler
__ Scrambler check all that apply
e-mail ____________________________________________________
(Please include your current e-mail address as much of our comm. is now via e-mail)
Annual Trails Club Dues (Individual) $12.00 $ ______________
Annual Trails Club Dues (Couple) $20.00 $ ______________
Please make checks payable to Trails Club of Rossmoor and mail with this form to:
Joe Boonin, 1173Singingwood Court #2, Walnut Creek, CA 94595,(925) 256-7933
(People joining after July 1 pay reduced fees of $6.00 for Individual and $10.00 for Couple)
TRAILS CLUB OF ROSSMOOR WAIVER FORM
I hereby acknowledge that I voluntarily applied to participate in events of the Trails Club of Rossmoor (“the Club”). To the best of my knowledge, I am physically fit at an appropriate level to participate in the planned activities. If at any point I have any health concerns I know to consult with my doctor prior to participating in any further activities with the Club.
I am aware that the activities of the Club may be hazardous, involving risk of serious injury, death or property damage. In consideration of my participation in the activities offered by the Club, I understand and voluntarily assume this risk and for myself, my heirs, legal representatives and assigns. I hereby release, waive, discharge and relinquish any claim which may hereafter arise from the activities involved with the Club including but not limited to claims for personal injury, property damage or wrongful death.
The Club and its appointed leaders are authorized to obtain whatever emergency first aid or medical treatment, or search and rescue reasonable and necessary for me in the event of my illness or injury. I agree to pay and will assume full financial responsibility for any amount not covered by my insurance.
I also understand that the Club does not provide insurance coverage for drivers of, or passengers in, private vehicles.
I have read, understand, and voluntarily agree to the above:
Signature Date
Print name
Please send this completed page and your check payable to the Trails Club of Rossmoor to Joe Boonin, 1173 Singingwood Court #2, Walnut Creek, CA 94595 by December 15, 2008, to ensure inclusion in the 2009 Trails Club Directory and Calendar of Events.
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| annual_enrollment_and_waiver_2010_.doc |