Membership Application | Evergreen Soaring

Evergreen Soaring is a club that depends on the energy and cooperation of the membership to achieve the mission of gliding and soaring in northwest Washington State. Our club constitution requires that the Board of Directors vote on each new member admitted, so please provide all the requested information below. Also, we expect all members to volunteer some of their time to enable safe and regular club flying operations.

Personal Information

Name: *

Email: *

Address: *

Additional Address:

City: *

State: *

Zip: *

Primary Phone: *

Secondary Phone:

Backup Phone:

Emergency Contact

Name: *

Address: *

Additional Address:

City: *

State: *

Zip: *

Phone: *

Relationship: *

Membership Requested

Membership Type : *

Full Member

Special Member - tow pilot or instructor

Student Member - full-time enrolled student less than 25 years of age

Social Member - non-flying member

see rates and fees page for more information.

If applying for Special Member, please indicate current status.:

Tow Pilot

If applying for Student Membership

School Attended:

List the school you are currently a full-time student at

Your age as of the date of the application:

Glider Rental: *

Monthly Glider Rental

Per Flight Glider Rental

No Glider Fleet Access (for Social Members)

see rates and fees page for more information.

SSA Member Number: *

SSA membership is required to join Evergreen Soaring and is applicant's responsibility. You may apply online at https://www.ssa.org/Join
SSA membership required to fly club aircraft; bring SSA membership card or on-line receipt.
In many cases, a follow up call/email to SSA will produce an SSA number ahead of SSA membership packet via mail.

Membership Application approval is subject to receipt of the Initiation Fee and first months dues. Do not pay the initiation fee until you receive an invoice from Evergreen Soaring. Once accepted to Evergreen Soaring membership, we expect all members to pay dues and fees promptly upon receipt of their statement. Membership is on an annual basis, although billing is monthly or bi-monthly. Please maintain current contact information with the Board of Directors. All relevant club information is available at www.evergreensoaring.info.

Signature

By signature below I acknowledge that the information provided has been done so truthfully and to the best of my knowledge.

Please type your name: *

Today's date: *

RELEASE OF LIABILITY

I am aware that flying involves risks including, but not limited to, the chance that I may be injured by the equipment used in the operation of a glider or through negligence on the part of Evergreen Soaring, its members or agents, or in the event of an aircraft accident.

I do hereby assume all risks and will hold Evergreen Soaring, its members, agents, and assigns harmless from any and all liability, actions, causes of action, debts, claims and demands of every kind and nature whatsoever which may arise from or in connection with my flight or my participation in other activities with Evergreen Soaring.

I further intend that this release shall serve as a release and assumption of risk for my heirs, executor and administrators and for all members of my family.

Should any part of this release be struck down as contrary to the laws of the State of Washington, I agree to be held to the terms of those parts which survive.

I have read the above release and agree to all its terms as part of my contract with Evergreen Soaring.

Please type your name: *

Today's date: *

(For Release by Minors)

I have read the above release and agree that the above minor of whom I am parent or legal guardian may consent to be held to all of its terms.

Please type your name:

Today's date:

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