Please complete the application,
print (Don't worry...the background will not print), and mail with your check to:
Delorean-Mid Atlantic Club
c/o Kevin Abato
6 Washington Street
Landing, NJ 07850
RELEASE OF LIABILITY
The 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.
The undersigned and their guests release the
sponsors of any DeLorean Mid-Atlantic activity from any and all liability
for loss or injury.
The 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 Associate Member
