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Name _______________________________________________________________________
Address _______________________________________________________________________
_______________________________________________________________________
Phone _______________________________________________________________________
E-Mail _______________________________________________________________________
Allow on Fairmont Fliers Public Web Site ( YES / NO )
Web Site _______________________________________________________________________
AMA #(required) _______________________________________________________________
How long have you been flying models? _________________________________________
How did you hear about our club? _________________________________________
_______________________________________________________________________
I will not hold the Property Owner responsible for any accidents that may occur.
I will abide by "ALL" club rules and safety regulations as stated by AMA and also the club safety committee.
After the 4th Warning for a disciplinary action, my fellow club members can have me voted out of the club in which I will turn in my key and bow out graciously without fuss.
Signature _____________________________________________________________________
Date _____________________________________________________________________