NORTHERN ONEIDA COUNTY ATV CLUB
Application for 2020
APPLICANT INFORMATION SECTION
Send payment to: Northern Oneida County ATV Club, P.O. Box 198 Boonville, NY 13309
Type of membership *
Name *
Your answer
Address *
Your answer
City *
Your answer
State *
ZipCode *
Your answer
Email address *
Your answer
Date of birth
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Cell phone number
Your answer
Land phone number
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FAMILY INFORMATION SECTION
Spouse name
Your answer
Child's name
Your answer
Child's name
Your answer
Child's name
Your answer
Child's name
Your answer
GENERAL INFORMATION SECTION
Is this your primary club? *
List other ATV clubs you or your family are members of:
Your answer
How many trail permits have or will be purchased from Lewis County?
How many ATV's are registered? *
List any special skills, equipment or contacts that may assist in the effort to secure legal riding areas in New York State:
Your answer
EMERGENCY CONTACT SECTION
Name *
Your answer
Relatonship *
Your answer
Cell phone number
Your answer
Land phone number
Your answer
PLEASE READ
In exchange for participating in the activities and events of the “Club” and, also in exchange for being permitted to operate off highway recreational vehicles ("ORVs") upon designated trails and areas located on property of landowners whose permission has been obtained by the, for one year from the date of this application and waiver. I understand and agree as follows Acknowledgement and Assumption of Risk: I understand and acknowledge the risk of accident or injury to my person or property and to others while riding ORVs. I accept and assume all risks and dangers and all responsibility for any such accident or injury no matter how, or by whom, it may be caused. Release, Waiver, Hold-Harmless and Indemnity: To the fullest extent permissible by law, I hereby release, waive, discharge and covenant not to sue the Club, or the landowners, from all liability, and further agree to indemnify and hold them harmless for accident or injury whether caused by the negligence of the Club, and the landowners, or otherwise

HAVE READ THIS ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, HOLD-HARMLESS AND INDEMNITY
AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I MAY HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT, ON BEHALF OF MYSELF AND MY MINOR CHILDREN, FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND FULLY INTEND MY SIGNATURE TO BE A COMPLETE, CONTINUING AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE FULLEST EXTENT ALLOWED BY LAW.
MEMBER CODE OF ETHICS
I recognize that people will judge all motorized trail users by my actions.
I will ride only on designated signed or mapped trails and areas.
I will slow down, use caution and be courteous when I encounter other trail users.
I will respect and preserve the public and private property that I ride on.
I will ensure my equipment meets New York State safety, insurance, registration, emission and
I will not endanger myself and other trail users by riding beyond my ability or while impaired by drugs or alcohol
I will not attempt to disturb or directly pursue wildlife with my recreational vehicle.
I will not construct jumps or obstacles anywhere on the trail or riding areas.
Club membership may be terminated at any time by a vote of the club Board of Directors. Just cause for terminations includes but is not
limited to failure to abide by club code of ethics.

Applicant electronic signature *
Required
Applicant date of signature *
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Spouse electronic signature
Spouse date of signature
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