UTAH/ARIZONA ATV CLUB - utazatvclub.org

1 UTAH/ARIZONA ATV club Kanab, Utah 84741 2017 Membership Application Send to: UT/AZ ATV club 65 S. Johnson Canyon Rd. Kanab, UT 84741 NAME: _____ ADDRESS: _____ CITY: _____STATE:_____ZIP:_____ PHONE: _____MOBILE:_____ SPOUSE: _____FAMILY MEMBERS#:_____ EMAIL ADDRESS: _____ DISCLOSURE; CHECK IF YOU ACKNOWLEDGE THE FOLLOWING. I AGREE: _____ In accordance with Utah State Law, 41-22-37, OHV operator responsibilities . I understand that by participating in any UT/AZ ATV club event. I do so of my own accord. I am further responsible for any of my relatives, children and invited guests. The UT/AZ ATV club , it s Officers or Members serving in any capacity shall not be held responsible for any accidents, injuries or personal property damage to myself, my family members or my invited guests. It is my further responsibility that any and all family members, including minor children and invited guests in my care operate OHV s in accordance with Utah and arizona state laws, or within the legal limits of the State in which we may be riding.

2 club membership The annual dues of $ are paid in January of each year of membership. The membership fee includes those living within your home. Dues not paid by May of the following year will result in you being removed from the active membership list and the correspondence lists. ATV club meetings are held on the third Thursday of each month except December. Meeting Times are at 7:00 PM in the winter months, and at 6:00 PM during the summer months when we do a cookout after our meetings. Monthly club rides are generally the Saturday after the Thursday meeting. ATV club rides, campouts, and special events are posted on the ATV club website and emails are sent to the membership. I agree with the above checked disclosure and membership rules. Signature_____Date_____ Dues Paid: $ YEAR: 2017 Date paid_____Paid to_____How paid_____ UT/AZ form: 1-15-17