South Bend Radio Control Club, INC #504
Membership Application for 2026
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First Name *
Last Name *
Street Address *
City *
State *
ZIP *
Email *
Cell Phone (or Home) *
Date of Birth: *
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DD
/
YYYY
AMA Number: *
If this application is for a spouse or immediate family of a club member, Please state your relationship with primary member.
Emergency Contact (include first and last name) *
Emergency Contact Phone Number (include area code) *
Are you an RC Aircraft Pilot? *
Required
Approximate years of RC flying experience: *
Do you wish to learn to fly an RC Aircraft?
Do you have a trainer aircraft ready to fly?
Do you want your contact information published in a "For Club Use Only" roster? *
Required
Membership Type *
Required
Years of Membership requested? *
Note: AMA Membership Required. Can only renew for 2 years if your AMA membership is valid for both years – no exceptions.
Required

I certify that my answers are true and complete to the best of my knowledge.

The By-Laws and the Pilot and Flight/Field Rules of the South Bend Radio Control Club, Inc. are available online at www.southbendrc.org. Read them and then continue.

I have read and will uphold the SBRC By-Laws and Pilot and Flight/Field Rules. Additionally, I will fly in accordance with the current AMA National Model Aircraft Safety Handbook.

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Typing your name and submitting this applications acts as a signature. *
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