Nevada Outdoors Membership Form
| Please check one: | [ ] $20.00 Single | [ ] $35.00 Couples (living at the same address) |
| [ ] $10.00 Single (after Jan 1st) | [ ] $17.50 Couples (after Jan 1st) | |
| [ ] I want Emails only |
Name <print>_________________________________________
Name (partner) ________________________________________
Address______________________________________________
City_______________________ State______ Zip____________
E-Mail <print clearly>________________________________________________________
Phone (H) (___)_______________________ Phone (W) (___)_______________________
Phone (C) (___)___________________
Emergency Contact Person Phone (___)
[ ] Please have my/ name, phone number, and email address distributed to the other members of Nevada Outdoors to be notified of impromptu events.
[ ] Please don't distribute my/(our) name, phone number, and email address to the other members of Nevada Outdoors.
By signing below I accept membership in Nevada Outdoors and hereby agree and understand that Nevada Outdoors is a social organization that coordinates outdoor events. I understand that I must use my own judgment on what events I should attend, and that I assume all risk of loss or injury whatsoever, and agree to indemnify and hold-harmless the Nevada Outdoors organization, its members, officers and boards for any and all injury or loss I may suffer in connection with my association with the group.
Signature________________________________________________Date___________________
Signature (partner>________________________________________ Date___________________
Print out this form and mail with check payable to Nevada Outdoors to:
A signed membership application must accompany your membership payment and be on file with the membership officer to be a member.
The group meets during the last week of each month as shown on the web site calendar at www.nevadaoutdoors.org/calendar.php
Email us at info@nevadaoutdoors.org
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