Gator4x4 of Gainesville, FL
Membership Application

Name: _________________________________ Spouses Name: _____________________________

Address: _______________________________ Home Phone: (_____)_____________

_______________________________ Email Address: _____________________________

_______________________________ Cell Phone: (_____)_____________

Birthday: Applicant- __________ Spouse- __________
Children’s Names: ____________________ ____________________ ____________________

Vehicle Info:

Year: ___________ Make: ___________________

Model: _____________________ Color: _____________

I certify that all information stated above is true and accurate. Personal safety and vehicle welfare is the responsibility of each individual. Gator4x4 leaders and members are not to be held responsible for vehicle damage or personal injury. Vehicle manufacturers or landowners are not to be held responsible for vehicle damage or personal injury. All members must also inform their guests of the club rules (not limited to Gator4x4 Constitution) and inherent risks associated with club activities. I understand that falsifying information on this application or breaking a rule of Gator4x4 may result in dismissal with or without refund. The contact information above will not be sold or distributed to advertising agencies but due to electronic storage of this information there is always a chance of an electronic break in, in which case Gator4x4 shall not be held responsible for the disbursement of such private information. Membership is non-transferable and fees apply for one fiscal year or the remainder of the fiscal year, whichever comes first. By signing you agree to abide by the Constitution of Gator4x4. A copy of these bylaws can be found at: http://www.gator4x4.com/pages/constitution.php and are subject to change without prior notification.

Signature: ____________________________________________ Date: ________________
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Office use (do not complete):

Application Complete Payment Received Date Approved: ___/___/___