Membership Application

Valdez Snowmobile Club

Membership Application

Please fill out the following application online.

Today's Date:

Type of Membership

Family ($35.00) Individual ($25.00)

Name:

Age:

If family, please list all family members names

Age:

Address:

City: State: Zip:

Hm Phone: Wk Phone:

Email:

I have been a snowmobiler for years.

I use my snowmobile for?

Other:

I would be interested in helping the VSC with:

Other:

The Valdez Snowmobile Club (VSC) is not liable for personal insurance. Therefore, I/we hereby release and discharge VSC its agents, and/or officers from any and all claims, demands, actions, judgments, and executions which the undersigned now have or may have in the future for themselves or for the undersigned's heirs, executors, administrators or assigns for any and all personal injuries and property damage which have been caused by or may arise out of the participation of myself or my family in any VSC sponsored events.

The undersigned hereby acknowledge that we have read this release and understand all of its terms. We execute it voluntarily and with full knowledge of its significance.

Signature of Applicant(s): Date:

_______________________________ _________________

Mail registration with payment to:

Valdez Snowmobile Club

Membership

P.O. Box 3689 Valdez, AK 99686

(You can push the submit button, and your registration will be received.

However, we will need your payment before you are officially registered as a member.)

We apologize for the inconvenience, but we currently do not take credit cards.

Enter your comments in the space provided below:

webmaster@valdezsnow.com