Membership Application

Initial Steps To membership with CNC 4×4 Club:

Read and agree to the CNC 4×4 Club ByLaws.
Complete the CNC 4×4 Liability Waiver.
Complete the Tread Lightly Awareness Course. You will need to submit your Certificate of Completion (.pdf).
Complete the Membership Application form below. Attach the Liability Waiver and Tread Lightly Certificate of Completion (.pdf) files to the application form below, send by mail, or bring to a club event.

CNC 4x4 Membership Application

Please fill in all applicable fields. Failure to provide all information requested may suspend consideration for membership in the CNC 4x4 Club.
Name*
First Last
Are you 18 years old or over?*
- I am 18 or over
- I am under 18 years old
If you are under 18, then STOP. You are not yet eligible for membership with CNC 4x4. You are welcome to re-apply when you are over 18.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Enter Email Confirm Email
Phone*
Medical issues or allergies:
Emergency Contact Name*
First Last
(somebody who will not likely be wheeling with you)
Relation of Emergency Contact*
Emergency Contact Phone*
Vehicle Make:*
Vehicle Model:*
Vehicle Year:*
How did you first hear about CNC 4x4?
Additional Information (optional):
Liability Waiver Upload*
You must sign and complete the Liability Waiver document. Completed signed file to be uploaded here. (you can also mail it to us, or bring to a club event).
Tread Lightly Certificate of Completion Upload*
You must complete the Tread Lightly Awareness Course, and attach your Certificate of Completion document here (.pdf). (you can also mail it to us, or bring to a club event)
Official statement of intent*
This statement of intent signifies my intent to obtain membership in the Central North Carolina 4x4 Club. Official application also states that there is no understood liability for damages or injury to person or property, of any member or participant at a Club function or event. Failure to abide by the rules and regulations of the Central North Carolina 4x4 Club is subject to immediate dismissal from the club with no promise to refund any dues paid by the offender. Please consider my application to the Central North Carolina 4x4 Club. I have read, understand, and subscribe to the bylaws of the Central North Carolina 4x4 Club, and will abide by the rules and regulations stated either expressed or implied therein.
- I AGREE to this statement of intent
Comments
This field is for validation purposes and should be left unchanged.

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Initial Steps To membership with CNC 4×4 Club:

CNC 4x4 Membership Application

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