Mich-A-Roos

2019 Membership Application

First Time Membership: Individual $20 Family $25
Renewal Membership: Individual $15 Family $20
Due date for membership is February 1st
(Membership Year is from January 1st through December 31st)

Use must be 18 yrs or older to be an individual member

New Member Only: One free Mich-A-Roo sticker

Name(s): ____________________________________________________

Address: ____________________________________________________

City/St/Zip: ___________________________________________________

Email: ____________________________________________________

Phone: __________________________NWC Name: ________________

I release the Mich-A-Roos of any and all liabilities of personal loss or injury, and/or property
loss/damage of any kind. I accept full responsibility for my personal property, myself, and family
members (including any minor child/children).

As a member, I would like to volunteer for the following activities:

□ Trail events ___________________________ □ Other___________________________
I give Mich-A-Roos permission to use photographs of myself and/or my family. □ YES □ NO
Checks payable to: Mich-A-Roos

Mail Application to:

Vicky Hoover
7952 Main St., Newaygo, MI 49337