Club application

The Delta Outdoor Adventure Club is a club that seeks to bring together people who have an interest in hiking, backpacking, mountain biking, white-water rafting, climbing, etc. We especially welcome beginners who are new to wilderness activities. We will act as a catalyst for trip planning and event participation, provide a forum for members to share knowledge and experiences, and promote safe and environmentally sound enjoyment of the great outdoors. Send this completed form along with a check or cash ($10.00 for Delta employees and affiliates $20.00 for non-Delta employees.) for dues to Kathy Glad, Dept. 968/ATG. Dues are good though calendar year 2002. Please use only one form per person.
For questions please call: Doug Crail 404.714.2628

NAME:

DEPARTMENT / STATION:                                                        HOME ADDRESS:

HOME NUMBER:
                                                                                                E-MAIL ADDRESS:
WORK NUMBER:

WHAT TYPE OF OUTDOOR ACTIVITIES DO YOU ENJOY AND WHAT IS YOUR EXPERIENCE LEVEL:

I hereby agree to comply with all Delta Outdoor Adventure Club bylaws:

Signature:_______________________________________

Waiver of Liability
(void after January 31,2003)
Acceptance of membership or election to participate in any Delta club or sporting event is considered to be voluntary on the part of the participant.

It is understood by the participant that such activities may have some inherent risks and that by voluntarily participating in such activities, the participant, their family, heirs, agents, or their assigns shall hold harmless Delta Air Lines, Inc. its' Officers, any employee(s) and any club officers or event organizers responsible for any accident occurring during, or traveling to or from any such activity. Participants agree to accept responsibility for themselves, their family members and any guests, as applicable, at any and all functions.

It is also understood that any medical expenses shall be the responsibility of the participant with limits restricted to the insurance coverage elected by the participant. Workers Compensation Benefits shall not be applicable in such cases. Any loss of wages shall be limited to earned sick days/time and or short/long term disability limitations.

Although participation in any event shall constitute acceptance of the above terms, this instrument may be reproduced as needed and newly affixed signature(s) may, at the club or event organizer's discretion, be a requirement prior to participation in any event.

Participants Name (Printed) _____________________________________

Participants Signature: _________________________________________

Date:    ________________________________________________________