New Jersey Jeep Association Membership Form
Primary Member Full Name *
Primary Member Forum Username (forum sign- up, https://njjeep.org/forum) One will be created for you if you are not signed up. Provide username you would like. The forum is the main way we communicate. *
Email Address *
We will be sending bi-weekly event newsletters & other club news to the email you provided. You can opt-out any time.
Mailing Address *
City, State & Zip *
Cell Phone Number *
Emergency Contact Name *
Emergency Contact Phone Number *
Allergies? *
Date of Birth *
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DD
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New Membership Or Renewal? *
Type of membership *
Primary Member: Agree to By-laws & Waiver. Links are provided or can be found on the Membership Form section towards bottom of page.
Family members also need to Agree to By-Laws & Waiver.
Primary member *I have read the NJJA By Laws and agree to abide by them. Agree Below. Link: https://njjeep.org/wp-content/uploads/2019/12/NJJA-ByLaws.revision2019.11.19.pdf *
Primary Member: * I have read the Release and Waiver Liability and understand that I (or my parent/guardian) must complete this waiver to participate in specific club events. Initial Below. For Family Memberships, please have family member read & Agree below Link: http://njjeep.org/wp-content/uploads/2017/08/NJJAWaiver.1104633.pdf *
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