First Name: Last Name:

Street Address: __________________________________________City: ____________________________

State: ____________Zip Code:____________ Home Pone: _____________ Cell Phone: _______________

Email Address: ______________________________

Are you currently a member of the AMA? _____ Yes _____ No (If you check No, the Club requires that you must contact an authorize Introductory Pilot Trainer, which the Club has currently two registered by the AMA).

If you are a member of AMA, what is your membership number: _____________________.

(For Club Use Only: Verified AMA Membership by Club Secretary _____________Date __________.)

How would you classify you flying ability? _____ Beginner _____ Amateur _____ Skilled

If you marked “Beginner”, do you wish to have an instructor? _____ Yes _____ No

Are you a member of any other RC Clubs? _____ Yes _____ No

If you marked “Yes”, what Club(s) are you member of? _______________________________________

What frequency channel do you use? ____________________________

How often would you use the C.A.M.A.A.’s airfield? ___________________________________________

The Club meets the first Monday of each month during summer and meets first Tuesday of each month during winter time. Will you be able to attend? _____ Yes _____ No

How did you find out about this Club? _____________________________________________________

For Membership we need: Name, Address, Phone Number, AMA# and $80.00 – for first time fee – then $30 – annually. Only the club officers will have access to the completed application. After completing the application, you will need to be at the next club meeting. Thank you and Fly Safe!

First Name: Last Name:

(For Club use only: Membership Dues paid by Cash or Check Club Officer Initials & Date _________________)

Signature: ____________________________ Date:

First Name: ____________________________ Last Name: ____________________________

(For Club use only: Membership Dues paid by Cash or Check Club Officer Initials & Date _________________)

Signature: ________________________________________________ Date: ____________________

First Name: Last Name:

Signature: ____________________________ Date: