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SACRAMENTO SNO-BUSTERS SNOWMOBILE CLUB
APPLICATION FOR MEMBERSHIP
ALL MAKES AND MODELS WELCOME TO JOIN !!!
DUES: Individual- $45.00 yr Family- $55.00 yr
Please Print
Member Name: ____________________________________________________________________
Spouse __________________________________________________________________________
Address: Street:____________________________________________________________________
City:___________________________ Favorite Riding Areas:
State:__________________________ 1)______________________________________________
Zip:___________________________ 2)______________________________________________
Telephone # _________________________
E-mail: __________________________________ Snowmobiles 1)__________________________
Children under 18 years of age
_______________________AGE_________ 2)__________________________
_______________________AGE_________
_______________________AGE_________ Make Checks Payable to:
Sacramento Sno-Busters
3685 Bass Street
West Sacramento, CA 95691
Renewal: _____ Yes _____ No
Signed: _____________________________________________ Date________________________
The purpose of this club is; to promote the sport of snowmobiling; to encourage safe and responsible riding by all; to ride inbounds and obey all laws that apply to OSV/OHV. www.sacramentosnobusters.com
ASSUMPTION OF RISK AND GENERAL RELEASE IDENTIFICATION OF RISKS.
By signing below, I acknowledge that snowmobiling involves a significant inherent risk of serious bodily injury, including permanent disability, dismemberment, internal injuries, and death due to the very nature of snowmobiling itself. As a member and/or guest of the SACRAMENTO SNO-BUSTERS CLUB, I wish to voluntarily participate in snowmobile activities (“Activity”). I also acknowledge it is my responsibility to understand the risks of this Activity. These risks include, but are not limited to: (i) extreme cold weather conditions; (ii) trail and terrain hazards; (iii) dangerous animals; (vi) equipment failure/malfunction; (v) falling objects; (vi) collision with other snowmobiles; (vii) falling from heights; and (viii) actions or negligence of third parties. These risks each independently, or in combination with the Activity, may cause illness, injury or even death. ASSUMPTION OF RISK. I understand that the Activity represents strenuous physical activity presenting risk of bodily injury, illness, fatality and property damage or loss that could result from the above risks, or my own negligence, or other accident and by signing below I assume all such risk. I am physically fit and possess the physical strength to participate in the sport of snowmobiling. I will not participate in the Activity while under the influence of drugs or alcohol. I will observe the laws and rules of the State of California and of any applicable local jurisdiction as they related to the Activity and of the owner of property where the Activity is permitted. I agree to wear protective gear. I take responsibility for knowing and operating within the range of my ability and ensuring that my actions do not cause injury or loss to others. I understand medical services may not be readily available and that the use of an air ambulance or other advanced medical transportation may be required if I become injured. I fully accept all risk of illness, injury or damage resulting from my participation in the Activity, regardless of the nature or the cause of the damage or injury. I represent I have medical insurance and that the Sacramento Sno-Busters Club has no responsibility for any injury or loss to me or for any medical care I may require. GENERAL LIABILITY RELEASE. I hereby waive, release, discharge and agree to hold harmless the Sacramento Sno-Busters Club, its officers, directors, members, agents, and associates (“Club”) from any and all claims or liability, whether known or unknown, and whether suspected or unsuspected to exist in my favor, and in any way connected with my participation in the Activity even though such claim or liability may arise out of the negligence or carelessness on the part of the Club. I hereby waive any provision of California Civil Code 1542 which might limit the scope of the general release. I intend this LIABILITY, RELEASE AND WAIVER to also apply to any relatives, personal representatives, heirs, beneficiaries, next of kin or assigns who might pursue any legal action or claim by, through me or on my behalf. I HAVE FULLY READ EACH OF THE ABOVE PARAGRAPHS CONCERNING IDENTIFICATION OF RISKS, ASSUMPTION OF RISK, AND RELEASE OF LIABILITY AND I UNDERSTAND THE TERMS OF THIS AGREEMENT.
My signature below certifies that I am legally able to and do voluntarily enter into this agree with the Sacramento Sno-Busters Club.
Participant’s Full Name and Address: ____________________________________________
___________________________________________
___________________________________________
[If parent or guardian of a minor: I, as parent or guardian of the above named minor, hereby give my permission for my child to participate in the activity, and further agree, individually and on behalf of my child, to the terms above.]
SIGNATURE: _____________________________________________ Date: __________
(Parent signature if under 18 years of age)
REVISED 10/7/11