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This form cannot be sent over
the internet.
Print and send to:
North Iowa Touring Club, Inc.
P.O. Box 1281, Mason City, IA 50402
o Single $15.00/year
o New
o Family $20.00/year
o Renew
Name_________________________________________
Address_______________________________________
City_______________________State____Zip_________
Home Phone___________________________________
e-mail address__________________________________
Indicate areas of interest:
o Cross Country Skiing
o Teach Others
o Downhill Skiing
o Help Organize
o Canoeing
o Hiking
o Biking
o
Camping
o Walking
o Sailing
o Running/Jogging
o
Climbing
o Team NITC (Bicycle Racing)
The NORTH IOWA TOURING CLUB may occasionally make our membership
list of names and addresses available to outside individuals,
groups, government agencies, organizations, or companies.
IF YOU PREFER NOT TO HAVE YOUR NAME AND ADDRESS INCLUDED PLEASE
CHECK HERE: o
In consideration
of my participation in NITC events, I do hereby for myself, heirs,
executors, and administrators, waive any and all claims for damages,
demands and causes of action of every nature, which I may have
or which may hereafter accrue to me against any and all members
of the organization and sponsoring agencies during participation
in NITC events or during travel to participate in the events.
If you are under the age of 18, you must have a parent or
guardian sign this release.
______________________________
_____________
Signature of
Adult/Parent/Guardian
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