HIGH COUNTRY RIVER RAFTERS MEMBERSHIP FORM 2017

Please print and mail this form by regular mail

2017 Dues $35 per year per household

Name(s)______________________________________________________________

Address______________________________________________________________

City______________________________State__________Zip___________________
Phones:

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

E-Mail address__________________________________________________

Boat(s) that you have__________________________________________________

_____New Member(s)

_____Renewing Member(s)

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 $35 with your completed membership form and mail to:

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