Our Club is a nonprofit, in-line skating club which promotes the enjoyment of safe recreational skating for all skaters from novice to advanced.
Membership Dues (Mail application and check for dues to the above address)
Individual: $25.00   
Family: $40.00       

Please print the following information:   Membership Type: New____or Renewal___

First Name__________________________Last Name______________________________

Address & Apt#______________________________________________________________

City________________________________________________________________________

State_____________  Zip______________________

Home Phone___________________________Fax #________________________________

Work Phone___________________________ E-Mail Address________________________

Occupation_________________________________

Date Of Birth________________________________

Please tell us a little about your skating experience (are you a new skater, skating for exercise, into racing, etc.).
____________________________________________________________________________

Do You want your home phone number published in the Club Roster? (Yes___No___)
Do You want your work phone number published in the Club Roster? (Yes___No___)
Do You want your E Mail address published in the Club Roster? (Yes___No___)

Are you interested in helping the club plan and execute its activities? (Yes___No___)
                                                           
Suggestions for club activities? We are interested!______________________________________

_____________________________________________________________________________
DISCLAIMER: I understand that in-line skating is a  dangerous physical activity. I accept this risk while engaging in any and all club activities. I understand that I risk serious injury by collision or falling because of rough pavement, traffic, other skaters, fatigue and the carelessness of pedestrians, drivers and others. Consequently, I agree to hold harmless the Beach Bladers of South Florida and all its officers, directors, members, and agents for any injuries or damages which may arise from club activities. (Parent signature required if applicant is under age 18.)

SIGNATURE____________________________________    Date_______________