Membership Request

Interested in becoming a member? Take a few minutes of your time to tell us about yourself.


Please note this is a membership request. According to our By-Laws your membership must be approved by two active members.


You may also download this form, complete it and bring it to a meeting.


This form is encrypted via SSL by "Let's Encrypt" a free open-source certificate authority.  Hoosier Beemers takes your privacy seriously.



Required Values*






Waiver

I understand that the Hoosier Beemers Club, Inc. (“Club”) cannot assume responsibility for any aspect of my safety and that if I participate in any Club event, I do so voluntarily on my own assessment of my ability, the routes and facilities and conditions, assuming all risk; and I release and hold harmless the Club, its officers and members for any injury or loss to my person or property which may result therefrom. I also certify that I am in compliance with my state's financial responsibility laws regarding the carrying of proper insurance.










ReCaptcha is used to prevent unwanted agents from creating bogus form submissions.