Membership Application

Please print, fill out and mail it, with your 
check payable to the Tripoli Vegas and send it to:

Tripoli Vegas Membership
 Steve Hedland
208 Carson Way
Henderson, NV 89015  

Or bring it to any Tripoli Vegas launch

                                   

    

$20, Adult per year

    

Renewal? if so Date Joined/Renewed ___________________________________________

Last name ____________________________________ First Name_________________________________________MI_______

Street Address ______________________________________________________________________ Phone _______________

City _______________________________________ State ________________ Zip ________________ Alt. Phone____________

Birthdate: __________________________________

Are you currently a member of Tripoli or NAR?  ____Yes,  ____No.       Cert.  level _______     TRA or NAR # ________

Do you currently use the internet?   ___Yes,  ___No.  If so, What is your Email Address? _______________________________________

Do you currently own a high power rocket?   ___Yes,  ___No.  If so what kind/ model ________________________________________

Would you like to  include my your information in Tripoli Vegas database, accessible by all members? ___Yes,  ___No
(Note: database includes name, home phone, Email, Web site, TRA# and your certification level).

Our club’s existence, activities and services depend on the contribution of time of its members.
Please indicate at least three areas below in which you are willing to contribute some time:

    

Event Setup

    

Leadership

    

Clean-up Crew

 

Event Breakdown

 

Special Events Staff

 

Telephone Staff

 

Range Safety Officer

 

Membership Staff

 

Other

 

Launch Control Officer

 

Special Interest Group Leader

 

 Writing articles for the newsletter or WEB

Read This Text Before Signing Below:
I, the undersigned, understand Tripoli Vegas. is not able to assume liability of any kind with regards to my activities or the activities of others. 
I agree to pursue my advanced rocketry  activities in conformance with the club’s bylaws and safety code, and that I will be an active member of the
association to the best of my ability.  I agree that if I attend invitation launchessponsored by Tripoli Vegas I will participate in set up, tear down, 
or launch control and agree that failure to participate may be grounds for membership termination in Tripoli Vegas as outlined in the club bylaws.

Applications Date:______________________________________ Membership ID: ____________________________________

Signature: ____________________________________________ Accepted by:_______________________________________