Cleveland Corvette Club, Cleveland, Tennessee, all makes C1-C6 -  Don't forget to wave.

Cleveland Corvette Club Membership Application

Name __________________________________

Address: ________________________________

Phone: __________________________________

Spouse: _________________________________

Email Address: ____________________________

Corvettes Owned  #1 _______________________

Corvettes Owned #2 ________________________

Corvettes Owned #3 ________________________

In consideration of my membership, I hereby agree to indemnify and to hold harmless the Cleveland Corvette Club, any of its members, officers, directors, organizers, associates, or the like for any injury or damage however caused, which may result from my participation in any event sponsored by the Cleveland Corvette Club. I also agree to indemnify and hold harmless the Cleveland Corvette Club, its officers, directors, organizers, associates, or the like from any actions of and by any of my passengers, drivers, or third parties which may arise as a result of my participation in any event sponsored or co-sponsored by the Cleveland Corvette Club. I also agree to obey all applicable vehicle laws and principles of safe driving.

Date ___________________________________

Signature _______________________________

Please mail completed form to:

John Killebrew
P.O. Box 460
Charleston, TN 37310