Great Outdoors/LA
Quick MEMBERSHIP APPLICATION
Fill out, print, sign and mail (along with check/money order)

(To clear form, refresh screen.)

First Name:
Last Name:
Address:
City/State/Zip:
Phone: -- (xxx-xxx-xxxx)
Email:

Special Requests:

This is a change of address only

Newsletter format:

eNewsletter - email/online (color)
- easier to read & print
- saves the club money
- receive it days earlier

HOW DID YOU LEARN ABOUT US?
(Please use only space provided)

Membership Type

NEW RENEWAL

REGULAR: $25
HOUSEHOLD: $45 Two names/one address
WOODSMAN/WOODSWOMAN: $50 Includes t-shirt
TRAILBLAZER: $75 Includes t-shirt
FRIENDS OF GREAT OUTDOORS: $100 Includes t-shirt
SENIOR: $15 (62 years young & up)
STUDENT: $15 (12 units/submit school ID w/Application)
HARDSHIP: $15 (See a Club Officer, listed on page 2)

(Print now and sign below)
By joining Great Outdoors and/or attending the club’s events, I acknowledge that in order for Great Outdoors to assume full legal responsibility it would have to charge higher fees than it does now. I waive the right to ever lay claim for injuries I might suffer before, during or after any Great Outdoors event. My guests will agree to these principles in writing before attending events.

Signature:_______________________________________________________   Date: ________

Signature:_______________________________________________________   Date: ________ (if "Household")

Make check out to: "Great Outdoors" and mail to: PO Box 8332, Van Nuys, CA 91409-8332