CCAMS - Application for Membership

Central California Aerospace Modeling Society

Central California Aerospace Modeling Society
974 Manhattan ave., Grover Beach, CA 93433, USA
(805)481-7056
WWW: www.geocities.com/~ccams
E-Mail: ccams@thegrid.net

Los Padres Sport Flyers Club #563

Rev: 12/04/99
Please complete a separate form for each applicant.

INSTRUCTIONS - This form may be printed and snail mailed to the address above. Your application must be fully completed, signed, dated, and counter-signed by an adult (21+) parent or legal guardian (if applicable). This form cannot be submitted electronically since an actual signature is required for processing.

Are you aware of all the priviledges and benefits of membership in CCAMS? You might want to look them over.

A SPECIAL NOTE CONCERNING OUR YOUNGER MEMBERS:

If you are under the age of 18 at the time of application, you must have a parent, guardian, or other legally responsible adult over the age of 21 countersign this form. This adult will be held legally responsible for your actions.
If you are under the age of 14 at the time of application, a parent, guardian, or other legally responsible adult must also join with you. This adult, or another designated adult (18+) chaperone with a written authorization from the responsible adult, must accompany the under-14 member at all Society events, including launches, flights, and competitions.

	Mr. Mrs. Ms. Miss Dr.		First Name:
			Middle Name:
			Last Name:

	Street Address / P.O. Box /Apt. #:
	City / State / Zip Code:

	Daytime:	() - Ext.
	Evenings:	() - Ext.
	Other:	Fax, Pager, Cellular, Alt. Number, or None () - Ext.

	E-Mail:
	Web Site:

	Occupation/Major:
	Employer/School:

New Member

Renewal
Change of Information

Current CCAMS ID#

CCAMS "Individual Members" are each mailed one copy of the Society newsletter. "Additional Members" are not mailed a separate copy of the newsletter, and they must reside in the same household. Remember, if you are under the age of 14, you must have a legally responsible adult join with you. For more information see the note above.

		Cash only please. If check please all in advance.
CCAMS Individual Member	Standard level of membership	$12.00
CCAMS Additional Member	Must reside with an Individual Member	$6.00

Membership Dues must be submitted with this application and may be paid at most CCAMS meetings and events or mailed to the address above.

IF you plan pay by Check please call (805)481-7056 pryer to filling out check.

I, the undersigned, along with the legally responsible adult signing below (if applicable), understand and agree to the following: The Central Coast Aerospace Modeling Society (CCAMS) and its Directors, Members, and any employees are not able to assume liability of any kind, including, but not limited to, any personal injury, property, or consequential damages, with regards to my activities. All advice, instructions, or claims offered by other members or by vendors are the personal opinions or statements of the individual or company giving the advice, instruction, or claim and are not necessarily the opinions of the CCAMS, even if published in the Society's newsletter. All equipment and supplies provided by the Society are provided "as-is" and without warranty of any kind and therefore, I (we) assume all risks, responsibilities, and liabilities for my actions when using them. I (we) will pay any and all legal fees and court costs for any legal action brought against CCAMS on behalf of myself or as a direct result of my actions. I will conform to applicable local, State, and Federal laws, as well as to current and future versions of the Society's Bylaws and Safety Codes and the appropriate safety codes of ancillary organizations to which I may belong (NAR, SFA, TRA). I will be an active member of CCAMS and fulfill the duties and services asked of me by the Society to the best of my ability. This agreement in no way limits my rights to seek financial or other remedies through other parties, including through insurance, nor does it release me from or substantially alter any other agreements I may have made with other entities. Rights, privileges, and responsibilities of membership begin after payment of dues and upon acceptance of this application by the CCAMS. Prices and services subject to change without notice. No refunds or reimbursement of membership dues or other fees will be made after the acceptance of this application. Revised 10/30/97.

Applicant's Signature:
Date Signed:	Date of Birth:	Age:
Parent/Guardian (if under 18)

Thank You!
Please print this form and mail it, along with your check or money order, to the address at the top of this page. If you have made a mistake or wish to complete a form for an additional person, please use the following button.

Go To CCAMS home