DDRC Membership Application
Membership Renewal/Application Form and Waiver
Print this form and mail with payment to:
C/O Barb Dubovski
4205 Grandbrook Ln
Plano, TX 75074
Telephone:� Home (_____) _____-_______ Work (_____) _____-_______
Email address: ______________________@_________________________
You must have an E-Mail Address to receive the monthly newsletter.
Type of Membership: _____Individual; _____Family (cost is the same)
Term of Membership:� All memberships expire on December 31st.
All renewals are $20.00 regardless of month of renewal.
I have read theWARNINGS AND LIABILITY LIMITS WAIVER found on the website.
I understand it and I agree with it as a condition of membership in the Dallas DownRiver Club.
�(Family memberships-all participants 13 years and above must sign waiver.)
________Check if all other family members are less than 13 years of age.
Check all that apply.
_____$20.00 $________ for individual membership renewal
_____$30.00 $________ for family membership renewal
_____$20.00 $________ for New Single Membership
_____$30.00 $________ for New Family Membership