San Luis Obispo County Four Wheel Drive Club
aka SLO County 4WD Club / SLO 4-Wheelers
Membership Questionnaire
Email for current mailing address Membership Director mailto:dave@oksner.org
Welcome!
download form as Word.doc
- Your interest in becoming a member of the SLO County 4WD Club
is appreciated!
- Along with family oriented activities including camp outs,
day trail rides & social events we work to keep trails open
through the adopt-a-trail program, work with other Off Highway
Vehicle user groups & local Forest Service representatives.
- The SLO County 4WD Cub has maintained an open membership and
our activities range from Serious rock crawling to Scenic cruises
on the back roads of our public lands. It is because of and through
our diversified members interests that this club continues to
grow & tries to offer 4-wheel drive fun for just about everyone.
- Your participation and input is eagerly awaited!!
- Please take a moment and complete this questionnaire so that
we have a better idea of who you are and your interests. Again
welcome as a member of the SLO 4-Wheelers!
This is your receipt (if your applying by mail this
will be returned along with your membership card)
Note: As a member of the SLO 4-Wheelers there are no requirements
as to number of events or attending the monthly General meeting,
however you are highly encouraged to attend the General meeting
so we can get to know each other and to insure your interests
are represented. They are usually a lot of fun and its where club
runs and activities are planned.
Club decals, T-shirts etc. may be purchased through the promotional
chairperson.
- Dues are $20.00 and due annually Jan 1st- (dues paid during
the 4th Qtr, are good through following year)
- California Association of Four Wheel Drive Clubs dues are
$45.00 (if joining CA4WDC also include CA4WDC form , Or click here for Info on CA4WDC
Name__________________________________________Paid________Date_________by____________________
Waiver Signed ______ Membership card _____ Assist cards ______ CA4WDC (or#)Paid _______
SLO County 4WD Club - Membership Questionnaire
Name_________________________________________Paid_________Date_________by_______________
Waiver Signed_______ CA4WDC (or#) Paid_________
Roster Information:
First name_________________________________ Last name____________________________________
Spouse / Significant other
First nameb________________________________ Last nameb__________________________________
Adddress_______________________________City_______________________State_____Zip ________
Home Phone_____________________________Work/ other_____________________________
«EMAil»_______________________________Vehicle type___________________________
children-First name, last name, age _______________________________________________________________________
_______________________________________________________________________________
How did you become aware of the club?___________________________________________________
Interests: check all that apply, feel free to make any comments or state other interests on the back
Types of Runs: Camp outs ___ Challenge runs___ Scenic ___ Historic ___ Local ___ Other_____________________________________
Would you Volunteer? Trail maintenance ___ Hold an office ___ Conservation projects ___ Social activities ___
Rate yourself Avid off roader ___ Love to camp ___ Mechanically inclined ___ Need instructions to open hood ___
Vista seeker ___ politically motivated ___ know some good campfire stories ___ Other____________________________________________________________________________________
Experience 4-wheeling- Don't need no spotter ___ expert ___ learning ___ novice ___
Camp outs Do you tow? ___ Need base camp ___ have tent will travel ___ sleep in seat ___
Like to help plan runs ___ OHV political issues ___ assist other volunteers ___ just want to be involved___
RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT TO
THE SLO COUNTY 4WD CLUB
Also known as SAN LUIS OBISPO COUNTY FOUR WHEEL DRIVE CLUB,
Also known as SLO 4-WHEELERS, here after referred to as SLO COUNTY
4WD CLUB
In consideration of being permitted to participate in any event
sponsored, promoted or directed by the SLO COUNTY 4WD CLUB, the
undersigned for himself, his personal representatives, heirs,
and next of kin, HEREBY RELEASES the SLO COUNTY 4WD CLUB, its
officers, directors, promoters, sponsors and employees and/or
the committee of all liability to the undersigned, his personal
representatives, heirs, and next of kin for any loss or damage
on account of injury to the undersigned or his property or resulting
in the death of the undersigned whether caused by the negligent
act or omission of Releasee's or otherwise while the undersigned
is for any purpose participating in such event. It is fully understood
by each of the undersigned that there is some inherent risk associated
with club events, including damage to vehicles.
In addition, the undersigned AGREES TO INDEMNIFY AND HOLD HARMLESS
the Releasee's from any loss, liability, damage or cost they may
incur due to such participation by the undersigned, whether caused
by the Releasee's negligence or otherwise and AGREE TO ASSUME
FULL RESPONSIBILITY AND RISK for any bodily injury, death, or
property damage from releasee's negligence or otherwise while
the undersigned hereby acknowledges and represent the following:
1. That he or she has read the foregoing Release of Waiver and
Liability and Indemnity Agreement;
2. That he or she shall at all times, while riding in a vehicle
participating in club events, wear their respective seatbelts,
and
3. That the owner/driver certifies that he/she has inspected this
vehicle and same is in good mechanical condition, and
4. That the owner/driver has informed himself about the event
and the trail involved, either by prior participation or by investigation
into the event and trail.
Signed____________________________________ Signed____________________________________