Personal Information First Name Last Name Phone Number Email Address Has your address changed since last year? NoYes Street Address City State Zip Code Do you currently belong to another club? NoYes Which Club? AWSC Number: By checking this box below I declare my answers to the questions on this application are true to the best of my knowledge and belief. I understand that as a member of the Kettle Moraine Riders of Eagle, WI, I will be expected to abide by the club rules and take an active part in the club activities and functions whenever possible. I also understand that when operating a snowmobile I will do it in such a manner that I will always be a credit to the club and the sport of safe snowmobiling. Signature Todays Date
