NRV Rocketry Application
v2016-01-04

For Club Use:

Your full name:								Age:          
			(to appear on current year NRVR membership card)

Applying as: (check box, write in $ & total fees)				
	□ Student*  ($5) (Include copy of student ID).............	$     
			* students: add $5 if desire membership card
	□ Individual ($20)........................................ $     
	□ + Family Membership** (add $5).......................... $      
	    **List other family TRA/NAR #s here:                  
   	□ Additional 2016 donation or Trailer donation?............$        
	              Total 2016 NRVR Membership & Support Amount  $        
  • ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ •
If member of parent TRA or NAR rocketry organization:
	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 (Tripoli Rocketry Assn.) or NAR (National Assn of Rocketry) Member:
	□ Joining TRA on line now (requires credit card): 	http://tinyurl.com/join-tra-2016 
	□ Joining TRA now through NRV Rocketry? (requires check)
	   1) Fill out, print & include their form here: http://tinyurl.com/join-tra-print-2016 
	   2) Include a separate $60-70 check (only) to "Tripoli Rocketry Assn."

  NOTE: If joining the TRA now, once you receive your TRA membership card 
	please send us your new TRA# and we will print your NRVR membership card.

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

Your Emergency Contact:	name:                relation:            phone:           

Your Email address:				@					 
	☑ Will be added to the club nrvr-members@nrvr.org list for the year.
  Would you like us to:
	□ Have your own member forwarding alias? 	
		(for ex:  first.last@nrvr.org email forwards → your.email@gmail.com )
	□ Add/verify you are on the general [nrvr] list also? (usually redundant) 

LIABILITY & PHOTOGAPHY WAIVER:
By submitting this application for New River Valley Rocketry membership, the applicant agrees:
(1) 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, governing body and launch property owners for their or your activities and/or the activities of others at NRVR events.
(2) to release all photographic rights of the applicant(s) and family members to NRVR and its media partners for use where and how they see fit. 

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 or money order to "NRV Rocketry" & mail to:
        Thomas Weeks, NRV Rocketry Treasurer
        4095 Fortress Dr
        Blacksburg VA 24060

or email a scanned PDF to tweeks(at)nrvr.org 
and drop the check in the mail.