APPLICATION FOR MEMBERSHIPS FOR TSA

MEMBERSHIP FEE
____Renewal or ____New Membership
With 3 signatures on back of form $40. ___ OR $100. Without ____
Add 100 dollars if signing up after the December Meeting
You will also need to purchase a club sticker for you sled and a towing
sticker if needed (towing sticker optional if not trailering in)
PAID $ _________ BY CHECK or CASH (circle one)
NAME: ________________________________________________________
STREET ________________________________________________________
CITY, STATE , ZIP _______________________________________________
HOME PHONE __________________ CELL PHONE___________________
E-MAIL __________________________________________________________
LIST OF FAMILY MEMBERS IN YOUR HOUSEHOLD
1. ____________________________________________
2. ____________________________________________
3. ____________________________________________
4.______________________________________________
EMERGENCY CONTACT
NAME _________________________ PHONE # _________________
READ CAREFULLY BEFORE SIGNING
The undersigned applies for membership into the Troy Snowmobile Association
(TSA) and does hereby agree to abide by all club rules and by-laws. I also
acknowledge the risk of injury to my person and property while participating on
the trails and in SNOWBILE EVENTS. I will rely on my own judgment and
ability while participating in club events and while riding on the trails and assume
all risk of injury and or damage arising out of such participation. I will not sue or
make any claim whatsoever against the Troy Snowmobile Association or to any
organizers of club events as a result of such participation. All family members
must live at the same address and if 18 or older must sign below too.
SIGNATURE:__________________________________DATE_____________
SIGNATURE:__________________________________DATE_____________
SIGNATURE:__________________________________DATE_____________
SIGNATURE:__________________________________DATE_____________

These signatures are intended for use by the Club Officers and or Designated
Trail Bosses that can be found on the clubs newsletter. These signatures entitle
the member to the reduced membership by the amount of 60 dollars for
participating in club work days on the trails and or by helping out at club
functions that will be discussed at the meetings.

1.) SIGNATURE:__________________________________DATE___________
2.) SIGNATURE:__________________________________DATE___________
3.) SIGNATURE:__________________________________DATE__________