DDRC Membership Application

 

Membership Renewal/Application Form and Waiver

 

Print this form and mail with payment to:

 

DDRC Membership/Treasurer

P.O. Box 820246

Dallas, TX 75352-0246

 

Please Print:

 

Name:________________________________________________________

 

Street_________________________________________Apt. No.:________

 

City:_______________________________State:_______Zip____________

 

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.  New members joining after June 30th pay $10.00.  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.

 

Signature:_______________________________________Date:______________

 

 (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 membership renewal of individual or family                

_____$20.00  $________   for new membership (January-June)                                  

_____$10.00  $________   for new membership (July-December)                               

                             

   Total            $_________               

 

 

No.:______________________________________________________