| Membership Form For The Dust Devils ATV Club |
APPLICATION FOR MEMBERSHIP
ELK CITY DUST DEVILS ATV CLUB
P.O. BOX 202
ELK CITY, IDAHO 83525
NAME (PLEASE PRINT)_________________________________________________
Spouse__________________________________________________________
Address______________________________________________________________
City, state, zip__________________________________________________________________
Home phone________________________________________ cell phone______ ________
E-mail address___________________________________________________
Do you wish to receive a newsletter by regular mail_______ or e-mail______
Type of Membership New_________Yearly Membership ____Note, Membership is June to June
Individual________ ($10.00)
Spouse/ Family_____( $15.00)
Please list all family members covered on this application, Note: Children 18 years and younger
only please
Name age
_Name________________________________age______________________________________
Read Carefully before Signing:
I/We recognize that riding an ATV is a hazardous activity that can result in serious personal injury
or death. I/We accept the risks inherent to riding with a group including, but not limited to, obstacles
on and off the roads and trails, rapidly changing weather, limited visibility, variation of slopes and
steepness on and off the trails, surface or sub-surface conditions on and off the trails and roads,
collisions with other ATV’s including other riders, and collisions with devises used to mark the
boundary or trails or roads.
In consideration of my/our participation in the events and rides of the Elk City Dust Devils ATV Club,
I/We hereby and agree to hold harmless the Elk City Dust Devils ATV Club, their officers, directors,
committees, employees, and agents from all claims.
I/We have carefully read this agreement and the release of liability and fully understand its contents.
I/We are aware that this release of liability is a contract between the Elk City Dust Devils ATV Club
and myself/us and we sign it of our own free will. My /our signature signifies that I/we have read and
agree with this release
Signatures______________________________________ Spouse__________________________
Date____________
ELK CITY DUST DEVILS ATV CLUB
P.O. BOX 202
ELK CITY, IDAHO 83525
NAME (PLEASE PRINT)_________________________________________________
Spouse__________________________________________________________
Address______________________________________________________________
City, state, zip__________________________________________________________________
Home phone________________________________________ cell phone______ ________
E-mail address___________________________________________________
Do you wish to receive a newsletter by regular mail_______ or e-mail______
Type of Membership New_________Yearly Membership ____Note, Membership is June to June
Individual________ ($10.00)
Spouse/ Family_____( $15.00)
Please list all family members covered on this application, Note: Children 18 years and younger
only please
Name age
_Name________________________________age______________________________________
Read Carefully before Signing:
I/We recognize that riding an ATV is a hazardous activity that can result in serious personal injury
or death. I/We accept the risks inherent to riding with a group including, but not limited to, obstacles
on and off the roads and trails, rapidly changing weather, limited visibility, variation of slopes and
steepness on and off the trails, surface or sub-surface conditions on and off the trails and roads,
collisions with other ATV’s including other riders, and collisions with devises used to mark the
boundary or trails or roads.
In consideration of my/our participation in the events and rides of the Elk City Dust Devils ATV Club,
I/We hereby and agree to hold harmless the Elk City Dust Devils ATV Club, their officers, directors,
committees, employees, and agents from all claims.
I/We have carefully read this agreement and the release of liability and fully understand its contents.
I/We are aware that this release of liability is a contract between the Elk City Dust Devils ATV Club
and myself/us and we sign it of our own free will. My /our signature signifies that I/we have read and
agree with this release
Signatures______________________________________ Spouse__________________________
Date____________
 | |  | |  | |  | |  | |  | |  | |  | |  | |  |