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Instructions
WHAT THE K.A.T.V.A. CAN DO FOR YOU!
· Membership card, access to club ride/camping area, entitles you to compete or participate in any of the club sanctioned activities throughout the year: rides, campouts, cookouts, rodeos, poker runs, races and much more and may purchase any of the K.A.T.V.A. apparel: caps, shirts, etc..
· K.A.T.V.A. will work to improve your rider safety awareness.
· K.A.T.V.A. is your source of information on state and local ride areas, and will keep you informed of the many club activities.
· K.A.T.V.A. is your voice in government and is working to develop and support laws that will allow new ride areas to be built and existing areas to remain open.
· K.A.T.V.A. is your organization, made up of ATV enthusiasts like yourself, and it is working hard to protect your right to ride so that you may continue to enjoy the sport of ATV riding. WE ARE A FAMILY ORIENTED CLUB!
K.A.T.V.A. benefits (16 to 18 with parental consent & supervision.)

Pricing
$70.00 (or $140.00*) FAMILY MEMBERSHIP Includes all K.A.T.V.A. benefits
for parents and children residing at the same address and younger than 18 years of age.
$70.00 (or $140.00*) DEALER MEMBERSHIP Includes advertising in newsletter
(you are responsible for placing your own ad)
$45.00 (or $90.00)SINGLE MEMBERSHIP age 18 and older

Please fill out the form below, and click the SUBMIT button at the bottom of the screen. You will then be taken to a page where you can pay for your membership. You will not be a member till payment has been recived.

Your Name:	*
Company Name :
Address:	*
City:	*
State:	*
Zip:	*
Date:	*
Phone:	*
Fax:
E-mail:	*
Is this a new membership or a renewal:	*
Sex:	*

Read below and answer Yes or No to each qustion. If you answer No to any qustions call the KATVA before proceeding.

I understand that I am NOT allowed to let non-members ride at Pomona:	*
I understand that all members are required to wear and helmet wire riding at Pomona:	*
I understand that long pants,over the ankle boots and eye protection are also recommended:	*
I understand that riding double is NOT allowed at Pomona :	*
I will lock all gates when I leave Pomona if I am the last person:	*
I will stay within all the boundaries of the Pomona ride area:	*
I will report the names of people the violae these agreements to the KATVA directors:	*
Add all the family names below that will be on your family membership. If this is a single membership only list your name: *
* The Pomona Ride Area is locked and a combination is needed to access the ride area. In order to receive the combination you MUST attend a club workday or pay double the membership price. CHOOSE ONE OF THE TWO OPTIONS :	*

Release and Waiver
RELEASE AND WAIVER OF LIABILITY,
ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
FOR THE KANSAS ALL-TERRAIN ASSOCIATION
IN CONSIDERATION of being permitted to participate in any way in the activities and events of Kansas All-Terrain Vehicle Association (KATVA) and/or being permitted to enter upon, be present at and use the trails/premises where all terrain vehicles ("ATV") or other motorized activities and events are being conducted (hereinafter referred to as the "Premises"), from the date hereof and for any and all dates thereafter, for any and all purposes and activities including, without limitation, the operation, maintenance, observation or use of ATVs or other motorized vehicles or motorcycles (hereinafter collectively referred to as the "Activities"), the undersigned, on his/her own behalf, and on behalf of his/her personal representatives, heirs, next of kin, and any and all other persons using the premises or participating in the activities as a guest of the undersigned (hereinafter collectively referred to as the "Undersigned"):
1. Acknowledges, agrees, and represents that immediately upon entering the Premises the Undersigned shall and shall continuously thereafter, inspect every area of the Premises which the Undersigned enters, and the Undersigned further agrees and warrants that, if at any time, the Undersigned is in or about any part of the Premises and feels anything to be unsafe, the Undersigned will immediately advise a representative, employee, or agent of the owner of the Premises of such and if necessary will leave the Premises and/or refuse to participate in the Activities.
2. Hereby RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE (Department of the Army and the Kansas Department of Wildlife and Parks) the owner of the Premises, any individual engaging in the Activities, rescue personnel, and the Premises inspectors, surveyors, underwriters, consultants and others who give recommendation, directions, or Instructions or engage in risk evaluation or loss control activities regarding the Premises, and each of them, the directors, officers, agents and employees (hereinafter referred to as "Releasees"), from all liability to the Undersigned for any and all loss or damage, and any claim or demands therefore on account of injury to the person or property or resulting in death of the Undersigned arising out of or related to the Premises or the Activities, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
3. Hereby agrees to indemnify and SAVE AND HOLD HARMLESS THE RELEASEES and each of them from any loss, liability, damage, or cost they may incur arising out of or related to the Premises or the Activities WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
4. Hereby ASSUMES FULL RESPONSIBILITY for any risk of bodily injury, death or property damage arising out of or related to the Premises or the Activities WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES OR OTHERWISE.
5. Hereby ACKNOWLEDGE THAT THE ACTIVITIES ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. The Undersigned, also expressly acknowledges that injuries received may be compounded or increased by negligent rescue operations or procedures of the Releasees.
6. Hereby agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement EXTENDS TO ALL ACTS OF NEGLIGENCE BY THE RELEASEES, INCLUDING NEGLIGENT RESCUE OPERATIONS and is intended to as board and inclusive as is permitted by the laws of the State of Kansas and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE, CONTINUING AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

Enter your name and date in the box to release the KATVA of liability
:

Parental Consent for ages 18 and under
PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
FOR THE KANSAS ALL-TERRAIN ASSOCIATION
"This is to certify that 1, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and for myself, my heirs, assigns and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in the activities as provided above, even if arising from the negligence of the RELEASEES, to the fullest extent provided by law.
I understand by putting my name in the box below I agree to the Parental consent form

I am this youths parent/guardian with legal responsibility for this participant and release as provided above by listing my full name:

(Fields marked with * are required)