Federal Way Amateur
Radio Club  WA7FW
P.O. Box 23415
Federal Way, WA  98093
Web site:  www.fwarc.org
E-mail: wa7fw@fwarc.org
  First Name: Last Name: Callsign:
      Address:
 
            City:
, State:   Zip:
Phone Work:
  Phone Home: Birth Date (mm/dd):
        E-mail:
What is your license class?
Are you a member of the ARRL?
             Membership Type:
Sponsoring Club Member: (Callsign)
Interests Training Facilities Club Activities
HF CW / SSB
HF Digital
VHF /UHF FM
Packet
Satellite
SSTV / ATV
Public Service
Emergency Response
Teach Class
Attend Class
Public Service
Amateur Radio
Morse Code
Volunteer Examiner
HF
VHF / UHF
Packet
Computer
Internet
Field Day (June)
Attend / Operate
Setup / Cleanup
Public Service
Contest / Events
Net Control


Release and Indemnity Agreement

I state that I wish to participate in activities offered by the Federal Way Amateur Radio Club (Club).  I RECOGNIZE THAT ANY CLUB ACTIVITIES MAY INVOLVE CERTAIN RISKS.  I certify that I am aware of the risks involved in this activity, including but not limited, the actions of any other club member, any participants or any other persons all of which may result in personal injury, death, property damage, and other losses.

In consideration for the right to participate in club activities, I hereby release the club and its instructors and members from any and all liability, claims, and cause of action arising out of or in any way connected with my participation in any club activity.  I personally assume all risks in connection with these activities, and further agree to indemnify the club and its members and instructors from all liability, claims, and causes of action which I may have arising from my participation in club activities.  The items of this agreement will serve as a release and indemnity agreement for my heirs, personal representative, and for all members of my family, including minors.

I further state that I am  eighteen (18) years of age or older and legally competent to sign this release, that I understand these terms are contractual and not a mere recital, and that I have signed this document of my own free act.  Parents or legal guardians must sign for all persons under eighteen (18) years of age.

I have read the above and fully understand its meaning before I submitted this contract.