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NRV Rocketry Membership Application
v2024-01-02a
Your full name:
Age:
(to appear on current year NRVR membership card)
Applying as: (check desired membership, write in $ & total fees)
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Student ($5) (Include copy of student ID)........................................ $
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Individual ($20)................................................................................. $
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Add Family Membership** (add $5)................................................ $
**List other family TRA/NAR #s here:
Additional annual donation ?…………………...................................... $
(opt'l)
Total Annual NRVR Membership & Support Amount..................... $
(total amount)
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If you are member of parent rocketry organization TRA or NAR rocketry organization:
YOUR TRA/NAR #(s):TRA#
NAR#
(if applicable):
YOUR current Certification Level (1, 2, 3, or 0=n/a ):
Info: If not yet a national TRA or NAR Member (for flying high power):
• Can Join TRA now on your own: http://tinyurl.com/join-tra-2024 (recommended)
• Can join NAR now on your own: https://www.nar.org/join-nar/
Your postal mailing Address:
Your Phone#:
(mobile # preferred)
Your Emergency Contact: name: relation: phone:
Your Email address:
(Will be added to the club email list nrvr-members@nrvr.org for the calendar yr + Jan.)
NRVR MEMBERSHIP LIABILITY & PHOTOGAPHY WAIVER: (New please read & sign)
By submitting this application for New River Valley Rocketry membership, the applicant agrees to:
(1) Adhere to all safety and operations codes associated with the activities undertaken by NRVR and ensure that all
children & guests are supervised and adhere to all safety rules and remain within voice range of a responsible adult.
(2) Assumes all risks inherent to rocketry and waive any liability of New River Valley Rocketry, it's members, officers,
governing body and launch property owners for their or your activities and/or the activities of others at NRVR events.
(3) Releases photographic rights of the applicant(s) and family members taken at NRVR events, to NRVR and its media
partners for their use.
Re-Up Initials
PRINTED NAME:
2025______ 2026_______
SIGN:
2027______ 2028_______
DATE:
For Club Use:
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