DOUGLAS COUNTY AEROMODELERS, INC.

MEMBERSHIP APPLICATION:  CLUB #879

AMA#					DATE			

( ) FLYING MEMBER	( ) NON-FLYING MEMBER	( ) JUNIOR

NAME					 D.O.B.					

ADDRESS											

CITY						STATE			ZIP		

PHONE 						EMAIL				

HOW LONG IN HOBBY?			CHANNEL(S)			
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Key receipt upon AMA confirmation:  By my signature below, I acknowledge the receipt of 1 key.  I understand this key is Club property and is not to be loaned or given to anyone else.  Replacement cost / additional keys are $10.00  Failure to return my key at the end of my club membership will result in a $20.00 penalty
DATE				SIGNATURE					
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Field check out:  The undersigned club member hereby certifies that he/she has met with applicant and said applicant has demonstrated a satisfactory understanding of AMA and flying site rules, which include those areas where flying is prohibited.
DATE				CLUB MEMBER					
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I agree to adhere to all Club rules and policies.  I understand that repeated failure to abide by such rules, guidelines and policies could result in the termination of my membership in DCAM.

APPLICANT SIGNATURE						DATE	

DOUGLAS COUNTY AEROMODELERS, INC.
P.O. Box 5576
Douglasville, GA 30154