Membership Application
PENINSULA SLED DOG & RACING ASSOCIATION
P.O. Box 2997
Soldotna, Alaska 99669
Membership type/check one: _____ Jr. $5.00
_____ Individual $25.00
_____ Family $35.00
Name: _________________________________________
Name: _________________________________________
Name: _________________________________________
Name: _________________________________________
Mailing Address: _______________________________
City:_____________________ State: ________ Zip: _________
Phone: ____________ Cell Phone: ___________
E-mail address: _______________________________
Kennel Name: _________________________________
I/We would like to show support by volunteering with the following:
___________________________________________________________
Waiver of Liability
The undersigned member, in consideration of becoming a member, and in taking part in any Association sanctioned activity, or the use of Association facilities of the Peninsula Sled Dog & Racing Association, Inc. hereby waives, releases, and agrees to hold harmless the Peninsula Sled Dog & Racing Association Inc. for all claims, past and future, against the Peninsula Sled Dog & Racing Association, Inc., its employees, officers, directors and agents or representatives, (hereinafter collectively referred to as “The Association”), including those arising from the Association’s negligence.
This includes but is not limited to, any and all claims for property damage, personal injury, medical expenses, and any other claim against the Association of any type or description arising from the undersigned’s membership in the Association, use of the Association facilities, or participation in any and all Association sanctioned activities.
The undersigned has read and understands clearly the foregoing Waiver of Liability and agrees all parties on this membership to be fully bound by its terms:
Primary Member Signature ____________________________ Date_______________