 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
 |
|||||||||||||||||||||||||
| Membership Form | ||||||||||||||||||||||||||
| Founder: Tom Wagar email twagar
@ adventureheads . com night 716.636.5700 day 716.691.1926 President: Dave Ditullio email trailslammer @ yahoo . com night 716.773.0021 day 800.343.1354 How did you hear about AdventureHeads? _______________________________________________ Circle the topic you want to learn more about Adventureheads Racing Guided Tours Upcoming Races/events Equipment Rentals Orienteering Website Adventureheads Club Kayak Skills Canoe Skills Rock Climbing Mountain biking Back Packing Basic Survival Skills CPR/1st Aid Training Camps Corporate Seminars Corporate Sponsorship Marketing Other __________________________________ |
||||||||||||||||||||||||||
| Name: ____________________________ email: ______________________________________ Address: _______________________________________________________________________ Day Phone: ________________________ night phone: __________________________________ Emergency Contact Name: ________________________________ Emergency Contact Phone: ________________________________ Current Occupation (optional): ______________________________________________________ |
||||||||||||||||||||||||||
| AdventureHeads membership discounts: * Discounts on all AdventureHeads certified clinics such as paddling, fixed rope, mountain biking, navigation, etc. * Discounts at local and online Outdoor stores * Discounts on local area orienteering topographical maps |
||||||||||||||||||||||||||
| AdventureHeads membership details: As a result of our first successful year we are able to reduce our 1 year membership fee to $10 (a great deal when other similar clubs charge in excess of $25) Your first outing with AdventureHeads is free so you can decide if Adventure Racing is for you. The membership fee, completed Membership Form and Waiver Form are due at your second outing. Our events page lists numerous activities in the greater Western NY area. Mail form to: Adventureheads, C/O Tom Wagar, 160 Plantation Ct, E Amherst, NY 14051 We look forward to seeing you at our next AdventureHeads outing. |
||||||||||||||||||||||||||
| "RU Headed for an Adventure" www.adventureheads.com Rev 11, October 03, 2004 | ||||||||||||||||||||||||||