AMA Club Application

Club Membership Application © - Horvath Systems - Joe.Horvath@amaclubs.com

Application for Membership - One Individual per Application - Contact Club at

Enter your personal information, then press "Submit Application"

AMA Number:

FAA Number:

Click here to get an AMA number online .

Click here to get an FAA number online .

First Name:

Last Name:

*Mailing Address:

City:

State:

*Zip Code:

*Home Phone:

*Cell Phone:

*Cell Carrier (for texts):

Age Range:

*Email Address:

* Indicates Personally Identifiable Information (PII) that is not shared without your consent

Optional Emergency Contact Information

Please only provide emergency contact information that can be publicly posted

Emergency Contact Name:

Emergency Contact Phone:

Dues structure for

*** Please read and sign this declaration. Application without Signature cannot be submitted. ***

Note: By signing this waiver, I agree that, if I am involved in any claim or suit, I will not sue Club or the owner of the property that we use for our Club activities.

I agree to comply with the AMA and Club Safety Codes for all model operations. I understand that my failure to comply with the Safety Codes will result in failure of liability coverage for damages or claims caused. I further understand that written notice of occurrence of any incident must be immediately reported to the Club President or Secretary. I have received the Club's By-Laws and Field Safety rules.

I am aware that modeling may present hazards to participants and spectators. I exempt, waive, and relieve Club and the owner of property from all current or future liability for personal injury, property damage, or wrongful death caused by negligence.

I agree to being part of the Club's "AMA Club Management" system. This includes having my membership information stored electronically and receiving periodic emails from the Club's "AMA Club Management" system.

Please type your name:

Parent or Guardian Name (if applicant is a minor):

Press to Submit this Application:

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