Allegheny
Trail Riders
 P. O. Box 134
Warren, Pa. 16365
www.alleghenytrailriders.org
 Membership Application

 Name: ____________________________________________ Date Of Birth: _____/_____/_____

Address: __________________________________________ Phone: (_____)________________

City /Town: ________________________________________State:______ ZIP: ____________

E-Mail: ___________________________________________ Signature:** _____________________________

Individual $20.00:______ Family $35.00:______ Sponsor $100.00: ______
 
Family Membership’s* Please list member’s names & D.O.B. below

Name:_______________________________ DOB: ________ Signature:** ___________________________

Name:_______________________________ DOB: ________ Signature:** ___________________________

Name:_______________________________ DOB: ________ Signature:** ___________________________

Name:_______________________________ DOB: ________ Signature:** ___________________________

Name:_______________________________ DOB: ________ Signature:** ___________________________
 


*Family Membership shall be limited to 2 adults and their children living in the same household.
** If applicant is under 18 a parent or legal guardian must sign this application

                                                         Read Carefully Before Signing
 The above signed does hereby agree to abide by all club rules and bylaws with the intent to be legally bound by this application
under the uniform written obligations act of the Commonwealth of Pennsylvania.
The above signed also acknowledges the risk of injury to their person and property while participating in ATV events.
The above signed will rely on His/Her own judgment and ability while participating in club events and will assume all risks of
injury or damage arising out of such participation.
The above signed hereby releases Allegheny Trail Riders of and from any liability for personal injuries or property damage incurred as a result of such participation.
The above signed will not bring legal action against, or make any claim whatsoever against Allegheny Trail Riders or to any
organizers or volunteers of club events as a result of such participation.