Membership Information Form
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Membership Type
Family
Lifetime
Immediate Family Members
The checkbox below acknowledges that the recreational activities and use of the club properties made available by the Viola Sportsman’s Club (Club) may include a risk of personal danger and injury. The checkbox below hereby waives any and all claims against the Club properties. I hereby release the Club from any and all claims and causes of actions for damages, which may result from my participation in the Club activities, or my use of the Club properties. I will also be responsible for paying all court costs, lawyer fees and legal fees. I hereby acknowledge that I have fully read the foregoing.
I agree
Full Name
Today’s Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: