CMRA Online Recreational Permit Application
Application to ride at Cumberland Mountain Rider's Association
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Membership Type *
First Name *
Last Name *
Street Address *
City *
State *
Zipcode *
Phone *
Email *
New Member *
Required
Minors *
Required
Number of Minors
If you answered yes to minors, have you filled out Minor Release Form
For one day pass, please enter date(s) you plan on riding
Total Number of Riders in Family
List Names of all Riders in Family *
Total payment sent *
Type of payment sent *
Payment information
Paypal address - cmramountainride@yahoo.com

Make checks payable to CMRA

Mail to:
Gary Horton
558 Horton Lane
Belvidere, TN 37306
Additional questions or concerns
Please contact Gary Horton
cmramountainride@yahoo.com
931-308-9282
THIS IS A WAIVER AND RELEASE FROM LIABILITY
For and in consideration of being permitted to ride motorcycles or have access to lands commonly known as the “Carter Wildlife Refuge” property in Franklin county, Tennessee, each of the Undersigned, for himself, personal representatives, heirs, or assigns: Hereby Releases, Waives, Discharges and Covenants Not to Sue the Landowner, the Landowners Lessor, Cumberland Mountain Riders Association, LLC, the Landowners agents in whatever capacity, from all loss or damage, on account of injury or death to person or property of the undersigned while on the Landowner’s property and each of the undersigned expressly agrees that this Release, Waiver and Covenant not to sue is intended to be as broad and inclusive as is permitted by the Law of Tennessee and if any portion is held invalid, the balance shall continue in full legal force and effect.

Each of the undersigned warrants the following statements are true and correct and understands that the Landowner and his Lessor and / or Agents in whatever capacity, have relied on them, in entering into the foregoing Release, Waiver and Covenant Not to Sue Agreement in issuing the undersigned a permit.

1. No Oral representations or inducements apart from the foregoing written agreement have been made.
2. He assumes full responsibility and risk of death or injury to person or property due to negligence of the Landowner, the Landowner Lessor or their Agents while on the Landowner’s property.
3. HE/SHE HAS READ AND VOLUNTARILY SIGNED THIS RELEASE AND WAIVER OF LIABILITY.
I HAVE READ AND AGREE TO THE ABOVE RELEASE *
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Please type full name for electronic signature *
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