New Mexico Mountain Club
Membership Application Form

Dues shall be $12 per calendar year, which covers all members living at the same address. Dues shall be payable as of January 1, and all memberships shall automatically cease if dues have not been paid by the February meeting date.   Mark with an asterisk anything you do not wish to appear on the club roster.

NAME:                                                                                                                                                  

ADDRESS:                                                                                                                                            

CITY, STATE, ZIP:                                                                                                                               

PHONE:                                            E-MAIL:                                                                                      

NAMES OF ADDITIONAL MEMBERS (SPOUSE AND OTHERS):                                                 

                                                                                                                                                              

Please check:   __ New Member     __Renewal     __Address Change        __No mailed bulletin

RELEASE OF LIABILITY
     I know and expressly assume the risk that a hiking and climbing activity scheduled by the New Mexico Mountain Club, a New Mexico non-profit corporation, may be dangerous or hazardous, and may result in loss or damage of property, physical injury, or even my death. I understand that neither the trip leader nor any trip participants are required to have any training or to have any experience or expertice with respect to any activity or in any aspect of safety or first aid.
     With full knowledge of these dangers, I RELEASE the New Mexico Mountain Club and its officers, directors, members, vehicle drivers, leaders, trip participants, guides, representatives, employees, or agents (collectively, the "NMMC") from liability, claims, or demands and agree NOT TO SUE OR OTHERWISE MAKE ANY CLAIM against the NMMC that may arise during may participation in any activity.
     This RELEASE OF LIABILITY will be effective whether or not any loss, damage, injury, or death RESULTS FROM THE NEGLIGENCE of the NMMC. I understand that negligence means a failure to do an act which a reasonable careful person would do, or the doing of an act which a reasonable careful person would not do, under the same or similar circumstances, to protect himself, herself, or others from injury of death. I expressly assume the risk of loss, injury, or death suffered by me as a result of participating in any activity. I am voluntarily participating in the activity. I am solely responsible for my own equipment, safety, and first aid needs. I will take every precaution to provide for my own safety and well-being while participating in any activity.
     This release is binding on me, my heirs, and my personal representatives. I HAVE READ THIS RELEASE BEFORE SIGNING IT.

SIGNATURE                                                                                      DATE                                

SIGNATURE                                                                                      DATE                                

IF UNDER 18 YEARS OF AGE, PARENT OR GUARDIAN MUST READ AND SIGN BELOW:
I am the legal guardian of the above minor and have read the above RELEASE. I hereby consent to the terms of the RELEASE on behalf of the named minor and give my consent to the participation of the above-named minor in all activities of the NMMC on the terms stated.

SIGNATURE                                                                                      DATE                                


SEND MEMBERSHIP FORM AND DUES($12) TO:
New Mexico Mountain Club,  c/o John Laing   9517 Guttierrez Road NE, 
Albuquerque, NM 87111-2571