MEMBERSHIP APPLICATION

Mail to: WESTERN MASS ATV ASSOCIATION, INC.
PO BOX 557
Dalton, MA   01227
Name: _________________________________________________________
Address: _______________________________________________________
City/Town: _____________________________________________________
State: ____________________________________ Zip Code _____________
Telephone: ________________Email: ________________________________
Type of ATV/DirtBike (year, make, model) ___________________________

Annual Membership Dues:   $20.00 Single, $30.00 Family (Same Household) of Four _______
                                                                                                      Trail Maint. Donation _______
                                                                                                                              Total  _______

Benefits:

Club Activities Include:       Monthly club rides
                                                             ATV Raffle
                                                             Annual Poker Run, Special Events, Work Parties

 Club Objectives:

    - Unify all ATV users into a strong group with a political word.
    - Maintain a positive public view of ATV riders.
    - Maintain trails, both Public and Private.
    - Cooperate with the State of Massachusetts.
    - Rider Safety education.
    - ATV use for Sportsman
    - Have fun and enjoy the Sport!

Meetings:
Monthly Meetings are held on the 3rd Tuesday of each month at the Dalton VFW, 366 East Housatonic St., Dalton, MA at 7:00 PM

Waiver:
I, the undersigned, waive all rights from accident or injury while riding on trails, or participating in any event involving the WESTERN MASS ATV ASSOCIATION, INC..  I fully understand that the sport of ATV and dirt bike riding is dangerous, and involves the risk of injury or death.

Signature: ________________________________    Date: ________________________
(If under 18 years of age, a parent or guardian must sign)