NRV Rocketry Application
v2013-12-29

Your full name:										
					(how you wish it to appear on member card)

Your Current Age:				

Applying as: 				
	____Student  (free)*		____Family Membership ($20)**
	____Individual ($15)		(Personal checks or money orders only)
   *Full time students must provide photocopy of current,  current student ID
   **Other family members: names, ages and TRA/NAR member #s here:
												

If member of TRA/NAR:
	What is your TRA/NAR #(s):	TRA#		/ NAR#		 (if applicable): 
	What is your current "Cert Level" (1-3, or n/a=0):		 

If not yet TRA/NAR:
	Do want to join the Tripoli Rocketry Association (TRA) now through NRVR?
	Print/Fill out/Include their application:
 http://www.tripoli.org/Membership/JoinTRARenewMembership/tabid/77/Default.aspx
	-Include a spearate $60-70 check to "Tripoli Rocketry Association" + 
	  the TRA application form.

  NOTE: If joining the TRA through NRVR, please do so by check only. We don't want
     your credit card info. Otherwise, we recommend joining the TRA via their web-
     site/paypal and give us your TRA# once complete.

Your mailing Address:					Your Phone#: 			
										 (mobile preferred)
							

Your ICE/Emergency Contact person:								
						(name, relation and phone#)

Your Email address:				@					 
  Would you like us to:
   add/verify on the nrvr list? ....................................... y / n 
   add/verify on the nrvr launches-only list? ......................... y / n 
   create/keep your own first.last@nrvr.org email forwarding alias? ... y / n 

LIABILITY WAIVER:
By submitting this application for New River Valley Rocketry membership, the applicant agrees to adhere to all safety and operations codes associated with the activities undertaken by NRVR.  The applicant  also agrees to assume all risks inherent to rocketry and  waive any liability of New River Valley Rocketry, it's members,  officers or governing body for their or your activities and/or the activities of others at NRVR events.


PRINTED NAME:					    DATE:					


			SIGN:								


----------------------------8<---------SNIP------------------>8---------------
To apply to the NRV Rocketry community club, simply fill in  the information
above, print it and include a check to "NRV Rocketry" to:
        Thomas Weeks, NRV Rocketry Treasurer
        4095 Fortress Dr
        Blacksburg VA 24060

or email a scanned PDF to tweeks @ nrvr.org 
(replace " @ " with "@" (minus the quotes) 
and drop the check in the mail.