New York Trail Riders Organization Online Membership Application

Name:
DOB:
Email:
Address:
City:
State:
Zipcode:
Home Phone:
Cell Phone:
Spouse Name:
Spouse DOB:
Spouse Email:
Spouse Cell Phone:
1st Child's Name:
1st Child's DOB:
1st Child's Gender:
2nd Child's Name:
2nd Child's DOB:
2nd Child's Gender:
3rd Child's Name:
3rd Child's DOB:
3rd Child's Gender:
1st ATV:    Year
                Make
                Model
                Plate #
                Expiration Date
2nd ATV:    Year
                Make
                Model
                Plate #
                Expiration Date
3rd ATV:    Year
                Make
                Model
                Plate #
                Expiration Date
Insurance Carrier Name:
Insurance Policy Number:
Insurance Policy Expiration Date:
List any special skills:
List other clubs you belong to:
Emergency Contact:
Emergency Contact Phone:
Membership Fee: New Family Membership ($35)
New Single Membership ($25)
Family Renewal ($25)
Single Renewal ($15)
  Mail my newsletter ($5) (available online for free)
 

ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, HOLD-HARMLESS AND INDEMNITY AGREEMENT

In exchange for participating in the activities and events of the “Club” and NYSORVA, 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 club and NYSORVA, 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, NYSORVA and 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, NYSORVA and the landowners, or otherwise.

I 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.
I acknowledge that I have read and accepted the Assumption of Risk, Release and Waiver of Liability, Hold-Harmless and Indeminity Agreement between myself and the Club, NYSORVA and the landowners.
Name:

Date:
Name:

Date:

CLUB 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 respect and preserve the public and private property that I ride on.
- I will slow down, use caution and be courteous when I encounter other trail users.
- I will ensure my equipment meets New York State safety, insurance, registration, emission and noise standards.
- 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 termination includes but is not limited to failure to abide by club’s code of ethics.
All memberships expire on April 30 each year.