Please complete the application,
print, and mail with your check (written out to 'DeLorean Mid-Atlantic Club') to:
Delorean Mid-Atlantic Club
c/o Justin Mettee
Shaffers Church Road
Glen Rock, PA
RELEASE OF LIABILITYThe
undersigned and their guests release DeLorean Mid-Atlantic and its
officers and directors from any and all liability for loss or injury
relating to an event sponsored by DeLorean Mid-Atlantic.
undersigned and their guests release the sponsors of any DeLorean
Mid-Atlantic activity from any and all liability for loss or injury.
undersigned and their guests release DeLorean Mid-Atlantic, its
officers and directors, and all of its members from any and all
liability for advice and assistance in the maintenance of any
automotive vehicle. All advice and assistance is used by the
undersigned at his/her own risk.
The undersigned and their guests
agree that participation in activities related to DeLorean Mid-Atlantic
is at the risk of the undersigned and his/her guests.
Dated this____________day of ________________, 20____.
Signature of Primary Member
Signature of Spouse/Significant Other Member