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Membership Application
2008-2009
(Please Print)
__________________________________________________________________________________________________________________________________
Last Name
First Name
__________________________________________________________________________________________________________________________________
Address
__________________________________________________________________________________________________________________________________
City
State
Zip
_________________________________________________________________________________________________________________________________
Phone
Email Address
Snowmobile #1:
__________________________________________________________________________
Year Make
Model
_________________________________________________________________________________________________________________________________
Serial Number
State Registration Number
WAIVER
I, the undersigned, waive all rights from accident or injury
while riding on trails, or participating in any activities involving the Adams
Sno-Drifters Snowmobile Club, the Snowmobile Association of Massachusetts (S.A.M.),
private landowners, the Commonwealth of Massachusetts, or the individual
townships of Massachusetts. I fully understand that the sport of
snowmobiling involves risk of accident or even death.
Signature _____________________________________________ Date _________________________
17 YEARS OF AGE AND YOUNGER
I, the undersigned, as parent or legal guardian, assume the
responsibility for the minor holding this Trial Permit under the regulations of
the Commonwealth of Massachusetts and M.G.L.Chapter 90B regulating the use of
snowmobiles.
Signature
____________________________________________ Date
___________________________
Club Membership
Fee........................................................................................................$25.00
S.A.M. Trail Permit Fee $25 per Snowmobile X ______
snowmobile(s)..........................+$ ______
Trail/Grooming Donation
(optional)..................................................................................+$
______
TOTAL
ENCLOSED...............................................................................$
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MEMBERSHIP EXPIRES SEPTEMBER 1, 2009
Trail Permit(s) will be mailed to you upon receipt of your completed application
and payment.
Thank You For Your Support!
(Please make additional copies as needed.)