I understand that by signing this form, my membership can be discontinued at any time if the club or its officers have reason that I or a member of my family operates an ATV irresponsibly so that it endangers the landowner/club relationship or if it is believed that the operator could cause harm to another individual. My membership fee is non-refundable and it is to be used to support the club as a whole. I also agree to hold harmless the KC-ATV Club from all liabilities resulting from my involvement with the club.
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APPLICANT'S SIGNATURE _________________________________________

2017 MEMBERSHIP APPLICATION

KNOWLES CORNER ATV CLUB, INC.
PO Box 244
Oakfield, ME. USA  04763

NAME________________________________________________ BIRTHDATE____________________
MAILING ADDRESS___________________________________________________________________
CITY / STATE / ZIP____________________________________________________________________
PHONE (         )_______________________E-MAIL_________________________________________
______$30 PRIMARY FAMILY MEMBERSHIP (includes spouse & children under 18)
______$25 ASSOCIATE FAMILY MEMBERSHIP
NAME OF SPOUSE____________________________________________________________________
NAMES OF CHILDREN & AGES________________________________________________________
________________________________________________________________________________________
______$25 PRIMARY SINGLE MEMBERSHIP
______$20 ASSOCIATE SINGLE MEMERSHIP
For associate members, please give name of primary club___________________________

(Memberships are due in MAY of each year)
NEW___________ RENEWAL___________
CHECK #___________ CASH___________ DATE PAID___________

Make checks payable to: KNOWLES CORNER ATV CLUB
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WE HAVE MORE THAN 85 MILES OF CLUB TRAILS in 9 TOWNSHIPS -
PLEASE INDICATE BELOW ANY AREAS THAT YOU WOULD BE WILLING TO GIVE A HELPING HAND WITH:

____________Brushing / Clearing Trails
____________Organizing Rides / Events
____________Helping with Food
____________Helping with Publicity