LAS VEGAS SOARING CLUB, INC.   MEMBERSHIP Application

NEW MEMBER _________                        RENEWAL __________________
Please print clearly.

1. Name ___________________________________________

2. Address ___________________________________________

City State Zip Code ___________________________________________

3. Telephone Number:___________________________________________

4. Email Address: ___________________________________________

5. Notify In Case Of Emergency:___________________________________________

Name _____________________________________ Telephone __________________________

6. AMA Number Current Year ___________________________________________

7. League of Silent Flight Member Number: LSF Level _____________________________

8. Date of Birth ___________________________________________

9. LIST ALL YOUR RADIO CHANNELS ___________________________________________

10. Primary Channel (the one channel you normally prefer to fly) ______________

11. SIGNATURE:___________________________________________

Date: ___________________________________________

12. AMA VERIFICATION BY: Date: ___________________________________________

(Club Officer only) ___________________________________________


Current Year Membership Dues:
• General Members ( age 19 and over ) $25.00
• Junior Members ( under age 19 ) $6.25
• Dues for persons joining the Club after June 30th shall be
one half of the annual amount for the balance of their first membership year.