Not intended for computer submittal

Print out this form, complete it, and present the form to a Club Officer or a Club Trainer.

Make check payable to River's Edge RC Flying Club

Name___________________________________________________
Address___________________________________________
City___________________________________
State____________________________ ZIP_____________ Phone____________________
E-mail Address__________________________________________
Frequencies_____________________________________________
AMA No._________________

TYPE OF MEMBERSHIP (Per Year): [ ] GENERAL $30.00 [ ] FAMILY $40.00

I hereby agree to comply with the current AMA Safety Rules and River's Edge RC Flying Club Field Rules and any future revisions thereof for all model aircraft operations. I understand that failure to comply with these safety rules will result in failure of liability coverage for any damages or claims so caused. I am aware that operation of radio controlled model aircraft may present hazards, and I exempt and relieve the River's Edge RC Flying Club from all liability for personal injury or wrongful death caused by my negligence. I understand that current membership in the Academy of Model Aeronautics is a prerequisite to membership in the River's Edge RC Flying Club. I understand that membership in the River's Edge RC Flying Club entails an obligation to support club events and participate in work parties.

(Bring this form with your check and proof of your AMA coverage to a Club Officer or a Club Trainer.)

SIGNATURE OF APPLICANT______________________________________ DATE_________________