Join/Renew — Las Vegas Mountaineers Club

Please read the document at this link in its entirety: "Release of All Claims and Agreement to Indemnify" and list two people below who may make decisions for you in case of emergency, prior to submitting this form. All starred * fields are required.

Name

First Name

Last Name

Email

Address (include City, State and Zip)

Phone

(###)

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Alternate Number

(###)

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Family Names (if you are purchasing a family membership)

Emergency Contact Name

Emergency Contact Phone

(###)

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Second Emergency Contact Name

Second Emergency Contact Phone

(###)

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Release Signature:

By typing your full name below, you understand and agree to the entire "Release of All Claims and Agreement to Indemnify." Please click on the link at the top of this page and read it in its entirety before submitting. Typing your name below is binding and equivalent to your signature. You must agree to the "Release of All Claims and Agreement to Indemnify" to become a member of LVMC.

After you submit this form, you will have several membership options. Fees are annually $15 for an individual, or $20 for a family or roommates. If you wish to purchase a 3-year membership, individuals are $40, family/roommates are $50.