SLO FLYERS, INC. MEMBERSHIP
APPLICATION
(Please Print)
Name ____________________________________________
Spouse's Name ________________________
Address _______________________________
City ________________________
State ____________ Zip _____________
Telephone _______________________
E-mail Address__________________________________
Date of Birth ___________________________
Model flying experience: (circle one)
Beginner
Intermediate
Advanced Top Gun
I certify that I am a current member in good standing, or have applied for
membership in the Academy of Model Aeronautics. I agree to comply with
all safety rules, regulations, and by-laws of SLO Flyers, Inc., and
the Academy of Model Aeronautics, now enacted, or hereinafter amended.
Safety Code compliance and waiver
and release of liability statement
"I agree to comply with the SLO FLYERS, INC. Safety Codes for all modeling
operations. I am aware that modeling may present hazards to participants
and spectators, therefore I exempt, waive, and relieve SLO FLYERS, INC. from
all current or future liability for personal injury, property damage, or
wrongful death caused by my inappropriate model operations or negligence."
This waiver shall be in force at all times that I am a member of SLO
FLYERS, INC., and the waiver does not require re-signature when my membership
is renewed. This waiver does not replace or affect my obligations as an AMA
member.
AMA Number ___________________
Date ____________________________
Signed _______________________________________________
Parent or Guardian (if under 18 years old)
___________________________________________________
Contact Bill Lander for dues information. (805)528-4260
E-mail retiredwkl@charter.net
Then return to: William K.
Lander, Treasurer
P.O. Box 6789
Los Osos, CA 93412-6789
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