Jayhawk Model Masters Radio Control Club Inc.
AMA Charter # 2013
2021 Membership Application or Renewal
Please complete this form and return with proper dues payment
and proof of AMA Membership for 2021 to a club officer.
Please print legibly.
The Jayhawk Model Masters RC Club Inc. is an AMA chartered club. You must be a current AMA member to fly
at Clinton Model Airport. Contact AMA (Academy of Model Aeronautics) at 1-800-435-9262 for membership
information. To verify your AMA membership, show your AMA membership card or proof of payment to the club
officer taking your application. If sent by mail, a photocopy of your AMA membership card is acceptable.
Full Name (Print) Spouse Name
Address
City State Zip Code
AMA # Phone # Cell Phone #
Birthday E-mail address
I agree to abide by all AMA and the Jayhawk Model Masters R/C Club INC. rules and any decisions made by the
Jayhawk Model Masters R/C Club Inc. Officers or Board of Directors.
Signature Date
Annual Dues: Prorated quarterly for new members only, Adult, 1
st
$65.00, 2
nd
$48.75, 3
rd
$32.50, 4
th
$16.25
Family (with youth under 18 years old), 1
st
$70.00, 2
nd
$52.50, 3
rd
$35.00 4
th
$15.50
Youth (17 years old and younger), 1
st
$20.00, 2
nd
$15.00, 3
rd
$10.00, 4
th
$5.00
Social Membership, (no flying or voting rights), 1st $20.00, 2
nd
$15.00, 3
rd
$10.00, 4
th
$5.00
Corporate (with approval from Board of Directors), $300
Note -- Dues may change from year to year.
A key to the flying field may be obtained during any regular club meeting and requires a $3.00 deposit.
Release and waver of liability agreement
In consideration of me and or my children, guests, or other person or persons participating in club or field activity,
hereby, for myself, my heirs, my executors and or administrators, waive any and all rights and claims for damages
I may have against the Jayhawk Model Masters R/C Club INC. and any individuals elected or appointed to act as
representatives of Jayhawk Model Masters R/C Club INC., U.S. Army Corps of Engineers or their representatives,
the city of Lawrence, KS or their representatives. Also none of the above is responsible for injuries, the loss of
personal items nor any other form of aggravation in connection with the club or field activities. I recognize that
there may be potential hazards in this activity.
Full Name (Please Print)
Signature
Signature of Parent or Guardian (If under 18 years of age)
Mail to - Jayhawk Model Masters
C/O Jim Morris
P.O. Box 337
Lawrence, KS 66044
