CLUB APPLICATION- Print application fill out and mail to address below with a check for membership. Write checks to Legend StumpJumpers Inc.
 

Legend StumpJumpers

Atv Club, Inc.

____$ 300.00 – Supporting Business Member (contact the club for more info)Logo's,Lifetime member,link's, and more.

____$100.00- Guarantees a Lifetime Link on Website and a sponsorship  and  Lifetime membership for business.

____ $25.00 – Primary membership (includes Spouse + children under 18)

____ $15.00 – Renewal membership (includes family)

Must be current member for 1 year+ to qualify for renewal.

Membership is due in (January) of each year.

New___ Renewal___

Please print clearly.

Primary Club:  _____________________________________________________

Associate Club(s): _________________________________________________

Name: ____________________________________________DOB:____/____/___

Address:__________________________________________________________

Town/ State/ Zip: ___________________________________________________

Phone: ___________________ E-mail: _________________________________

Spouse: __________________ Children: ________________________________

ATV/ Year/ Make/ Reg #:_____________________________________________

How/where did you here about the (Legend StumpJumpers) ATV Club?________________

________________________________________________________________________

I understand that by signing this form, my membership can be discontinued at any time if the club or its officers have reason to believe 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 intended to be used to support the club as a whole.

I also agree to hold harmless the (Legend StumpJumpers) ATV Club from all liabilities resulting from my involvement with the club. I also agree to hold harmless (Legend Stumpjumpers) ATV Club from all liabilities in case of injury,I agree to ride at my own risk.

Signature: ________________________________________ Date: ____/____/____

Thanks for becoming a member of The Legend StumpJumpers

Please come to our next meeting or mail this form and a check payable to:

(LEGEND STUMPJUMPERS ATV CLUB INC.)

P.O. Box 188

Rockholds, KY 40759

(606) 224-8500

Tread Lightly and Ride Safe

On Public and Private Lands