HIGH COUNTRY RIVER RAFTERS MEMBERSHIP FORM 2009

Please print and mail this form by regular mail

2009 Dues $25 per year

Name(s)______________________________________________________________

Address______________________________________________________________

City______________________________State__________Zip___________________

Phones:
(Home)_______________(Work)_________________(Cell)_____________________

E-Mail address__________________________________________________

_____New Member

_____Renewing Member

Would you like to serve on a committee?

_____________________________________________________________________

It is understood that River-running involves inherent risks and dangers. I
acknowledge that I am voluntarily participating in these activities with the
knowledge of the danger involved and accept such risk.

Signature___________________________________Date_____________________

Signature___________________________________Date_____________________

Please enclose a check for $25 with your completed membership form and mail to:

HIGH COUNTRY RIVER RAFTERS
Post Office Box 317
Wheat Ridge, CO 80034-0317