Membership Application Form
Name_____________________Email________________
Address___________________________________
City_____________________State_______Zip__________
Telephone_________________________________
AMA #_____________________Birth date_____________
Channel #?s______________________________________
Release and Waiver of Liability Agreement
In consideration of my and/or my children, guests, or other person?s participation in club or field activity, hereby, for myself, my heirs, my executors and /or administrators, waive any and all rights and claims for damages I may have against the Franklin County Flyers R/C club, and any individuals elected or appointed to act as representatives of The Franklin County Flyers, flying site owner Joe Schneider or their representatives.
Also none of the above are responsible for the loss of personal items nor any other form of aggravation in connection with club or field activities.
I recognize that there may be potential hazards in this activity.
In filling out this form, I acknowledge I have read and fully understood my own liability and do accept the restrictions.
Signature__________________________Date__________
Signature of Parent
or Guardian if under __________________________________________________
18 years of age.
Please feel free to print this application and mail it with $20 dues and proof of AMA to:
Franklin County Fliers
836 North Oak
Ottawa KS, 66067
