INDIANAPOLIS HIKING CLUB
Happiness - A Step at a Time
Application for Membership

Applicants must be 18 years of age and have completed two hikes as a guest. If you would like to become a member, please complete this application and have it signed by any club member. Mail this form along with a check for the applicable fees (see below) to the following address, or you can give to any club officer.

Mail To: Mary Williams, 695 Old Plank Road, Franklin, IN 46131     (Questions? Check out www.indyhike.org or call 317-422-9384)

Date: _______________                   Check One: Individual membership ____ Family membership ____

How did you hear about us? Newspaper__ website__ Club flyer__ friend/family __ Other___________

Release of Liability: I/we understand and agree to absolve the officers, hike leaders and members of the Indianapolis Hiking Club of all blame for any injury, misadventure, harm, loss or inconvenience suffered as a result of taking part in activities sponsored by the Club.
        By applying for (or renewing) membership, I/we accept that depictions of members pictures of Club hikes and events may appear on the Club website, as may the hiking schedule and members' mileage awards, and that a roster of Club members and a membership mileage report are distributed within the membership annually.
        The Indianapolis Hiking Club respects your desire for privacy. You may notify our membership officer if you prefer that your name, mailing address, phone number or e-mail address not be published. You may contact a Pathfinder to limit the personal information provided when you lead a hike. The Club does not share or sell the information collected on this form.

Signature(s):_______________________________________________________________________

Name(s):___________________________________________________e-mail addr:_______________
                                            (please print)

Address:____________________________________________________________________________
                                    (Street)                                            (City)                 (State)   (Zip)     (Telephone)

Date of two hikes: __________ and __________         Recommended by:________________________
                                                                                                                          (signature of member)
Membership fees:

New member fee $ 5.00/person One-time fee applicable to indiv. and family membership
Reinstatement fee $ 5.00/person Applies only to former members who have been inactive for 1 yr.
Annual dues $15.00 Individual membership ($7.50 if after April 1 and before Sept. 1)
  $22.00 Family membership ($11.00 if after April 1 and before Sept. 1)
Optional Name tags $5.00 each Names(s) on tags ______________________________________

Amount enclosed: New Mbr./Reinstate. fee: $_____ Dues: $_____ Name Tags: $_____ Total: $______

Please make check payable to “Indianapolis Hiking Club”.     Do not send cash through the mail.
New members are approved at board meetings, usually held on the 3rd Thursday of each month.