South
Daytona R/C Model Yacht Club Date______________________ AMYA Sanctioned Club #163 Application for Membership Name___________________________________________________________ Address_________________________________________________________ City____________________________________ State______ Zip___________ Email Address____________________________________________________ Home Phone_____________________ Cell Phone________________________
Spouse's Name____________________________________________________ AMYA Member ? Yes__ No__ AMYA Member #__________________________ Class of boats owned________________________________________________ _______________________________________________________________
First Time Members_$30.00 Pd_(__) Covers first two years dues Fees received by______________ In consideration of accepting my membership, I hereby for myself, my heirs, executors and administrators waive and release any and all rights to claim damages that I may have or acquire against the South Daytona Model Yacht Club(s), its members, the sailing site owners, employees, agents, representatives, or assigns from any claim for injury or other damages to me or my family during any and all club events.
Date____________ Applicant's Signature_________________________________________ ( Try using "Print Page" in the footer )
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