IF YOU ARE UNDER 18 YEARS OF AGE, PLEASE PRINT A APPLICATION AND MAIL

TO THE ADDRESS ON THE APPLICATION.  (Applicants under 18 require Co-Signature from parent or guardian).

            I am over 18.                              I have read the Membership Requirements       

Name :       Date :

Address :

City :    State :    Zip :

AMA No. :     Home Phone :

Work :    Cellphone :

E-Mail Address :

Sponsor :

  I agree to comply with the AMA Safety Code and Club Field Rules.