Emergency Contact Number:
AMA Number (if new state "new". You will be contacted to provide copy of your temporary receipt to the membership officer.)
Note: This application is a two step submission process. Upon completion of the above and submission, you will be directed to our payment page. If you have a second adult or additional junior joining our club, a separate form submission and payment for each person is necessary. Your submitted payment is for the annual club membership only and is non refundable. One does not need to be a PayPal member to pay dues. Major credit cards are accepted via PayPal and PayPal nominal fee is added. Dues are $75.00 per year payable by January 1. Junior members (under 18) is $25.00 per year. Junior applications must be submitted by parent or legal guardian.