Membership Application

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Wagon Wheel OHV Club WAIVER AND RELEASE

I, the below named Participant, being at least 18 years of age or the parent or guardian of a minor, in consideration of  being permitted by the Wagon Wheel OHV Club to participate in, all activities, activities, rides, or outings in association with the Wagon Wheel OHV Club, hereby WAIVE, RELEASE, and DISCHARGE the officers, directors, board members, employees, members, agents, assigns, legal representatives and successors, any business associates and partners involved in or with the membership of the Wagon Wheel OHV Club, from all liability for or by reason of damage, loss or injury to person or property, even injury resulting in death of the Participant, which has been or may be sustained in consequence of  participating in any Wagon Wheel OHV Club rides, outings or activities, and notwithstanding that such damage, loss, injury or death may have been caused solely or partly by the negligence of the Wagon Wheel OHV Club. I hereby acknowledge and agree that I have carefully read this Waiver and Release, that I fully understand same, and that I am freely and voluntarily executing same. By signing this Waiver and Release I will be forever prevented from suing or otherwise claiming against the Wagon Wheel OHV Club for any property loss or personal injury or death that I may sustain while attending and/or participating in any activities involving the Wagon Wheel OHV Club. I acknowledge that I am informed and understand both the major and minor hazards and risks (which may include sprains, strains, dislocations, teeth (loosened/broken/knocked out), amputations, cuts, bruises, breaks, head injuries, paralysis, up to and including death) associated with my membership, participation, and/or attendance. I understand and accept those hazards and risks. I have determined whether I have adequate separate personal insurance to cover all harm that I or my family may suffer due to attendance or participation in any Wagon Wheel OHV club or related activity and I have personally obtained all insurance protection that I want. I understand that I will not be permitted to participate in any activity, ride or outing unless I sign this Waiver and Release. I HAVE READ AND UNDERSTAND THIS WAIVER AND RELEASE AND I AM AWARE THAT BY SIGNING THIS WAIVER AND RELEASE I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAI NST THE WAGON WHEEL OHV CLUB. Name of each family member: (Do not sign unless you are age 18 or older. For families at least one of the participants must be 18 or older, and a parent or guardian must sign for family members under the age of 18.)  __________________  _________ ___________________ ______________ ____ | ______________ _______________________ _________________ ___________ ___ | _______________ _______________ Participant Printed Name Signature Date  ___________________________  __________________ ______________ _____ | ___ _____________ __________________ __________________ _____________ ___ | _______________ _______________ Participant Printed Name Signature Date

Wagon Wheel OHV Club Membership Application

O ur Mi s s i on:    Advocate and promote promote responsible use use and conversation conversation of  our public lands and natural resources t o preserve their  beauty and recreational qualities for future generations. Develop and maintain a network of off highway trails for the enjoyment of all OHV enthusiasts (Jeeps, ATV’s, Motorcycles and other mechanized equipment), while cooperating with others in education and training in the use of and safe operation of OHV’s.  OHV’s.  Support the business community to enhance tourism, working in conjunction with the BLM and USFS in trail  improvements and maintenance supporting other forest user  groups and organizations. organizations. Work for the enhancement of the State and Federal Laws concerning OHV use on public lands promoting responsible use, reasonable restrictions and registration, assuring  ongoing access to a wide variety of quality OHV recreational  opportunities through our commitment to prudent resource management, community education and environmental  stewardship.

 ____________________________  __________________ ______________ ____ | _____________ _______________________ __________________ ___________ ___ | _______________ _______________ Participant Printed Name Signature Date  ___________________________  __________________ ______________ _____ | ___ _____________ __________________ __________________ _____________ ___ | _______________ _______________ Participant Printed Name Signature Date  _________________________  ___________ __________________________ ________________ ____ | ______ _________________ ________________________ __________________ _____ | ___ _______ ____ | ______ _____________ _______

Address City ST Zip

Emergency Phone Number and Contact: ______________________________________________________________

Wagon Wh eel O H V C lub  P O B ox 1447  Meeker, CO 81641  E m ail: w agon w heelohv c lub@ gm ail.c ail.c om  

 

 

Thank you for your membership!

Wagon Wheel OHV Club Membership Application Name ____________________________________________________________________________

Total Amount Paid

Street Address _____________________________________________________________________

$______________________ 

Mailing Address ____________________________________________________________________

Date Paid

City /State/Zip _____________________________________________________________________

 ___________________________________  Check Number 

Home Phone ________________________ ________________________ Alt. Phone (Work/Cell) ___________________________ Email Address _____________________________________________________________________

 ____________________________  Payment Received by:  ____________________ 

Membership Type  Wagon Wheel OHV Club dues cycle runs from April 1 –  March 31 of each year 

Individual / Family $35/year Business $50/year

Sh a r e y o u r a d v e n t u r e s   Experience, explore, Meeker via the many trails of the Wagon Wheel OHV Trail System. If you like t o ride your UTV,  ATV, or Adventure Motorcycle with people who have the same interests and enjoy riding in the beautiful White River  Valley, then plan on joining the Wagon Wheel OHV Club. Growth of the OHV sport requires rider responsibility, safety, low-impact activity on public lands, properly registered machines, and sharing trails with other user groups. The Wagon Wheel OHV Club is designed to provide its members a chance to build this very knowledge through workshops, meetings, partnerships with the United States Forest Service, Colorado Parks and Wildlife, and local government agencies, while building camaraderie with fellow riders. Members have the opportunity to volunteer to help create connecting trails, upkeep existing trails, provide community education and much more. Not sure if you want to be a member, visit with members of the Wagon Wheel OHV Club at their next meeting to learn more and make an informed decision.

Me mb e r B e n e f it it s   Membership has it’s advantages! Here are some…  Discounted membership to COHVCO (Colorado Off Highway Vehicle Coalition)

Training Opportunities Club Rides & Social Events Meet New Members Voice in local land use and road/trail issues ****************************************************** The club holds monthly meetings April  – September and

Check box for preferred delivery of newsletters and club information ____Postal Mail Delivery  ____ Don’t Need It  

 ____ Email

Types of machines

 ____ All Terrain Vehicle  ____4x4, Jeep, SUV

____Utility Terrain Vehicle, Side-by-Side ____Off-Road Motorcycle, Trail Bike, Motocross, Enduro

How did you hear about the Wagon Wheel OHV Club?

 ____Member

____Newspaper

____Flyer

____COHVCO

Membership Names

Member 1 ______________________________________________

Adult

Child

Member 2 ______________________________________________

Adult

Child

Member 3 ______________________________________________

Adult

Child

Member 4 ______________________________________________

Adult

Child

Member 5 ______________________________________________

Adult

Child

Please mail this form and your check made payable to: Wagon Wheel OHV Club P.O. Box 1447 Meeker, CO 81641

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