VAST TMA and Club Membership
Application

Connecticut Valley Sno-Riders
P.O. Box 33
Guildhall, VT 05905
www.ctvsr.com

TMA Application Form

PLEASE READ CAREFULLY

Please follow all instructions carefully, especially the information pertaining to the snowmobile. This information is required and if missing or incomplete the application will be returned. Individuals are reminded that they must have a TMA and club membership card on their person to legally operate the snowmobile. For mail applications, any photocopies must be included with the

Resident TMA

A Vermont resident whose snowmobile is registered in Vermont. Attach a photocopy of your registration.
A non-resident who owns property in Vermont AND whose snowmobile is also registered in Vermont. Attach a photocopy of your Vermont registration and your Vermont town tax bill.

Non-Resident TMA

All non-residents that do not own property in Vermont.
Vermont Residents whose snowmobiles are not registered in Vermont.
Non-resident Vermont property owner whose snowmobile is not registered in Vermont

NOTE: A copy of your current snowmobile registration must accompany all applications.

BY MAIL:

Please make checks payable to:
Connecticut Valley Sno-Riders or CTVSR

Mail To:
Mary Stewart
6 Button Drive
Essex JCT., VT 05452

IN PERSON:

FB Spaulding Store
244 Main Street
Intersection of RT 3 & RT 2
Lancaster, NH

DeBanville's General Store
47 VT Route 105
Bloomfield, VT

PRICES LISTED ARE FOR TMA'S PURCHASED AFTER 12/15/2011

	CTVSR Club Membership Only (additional operators, skiers, etc)	$15.00		$
	CTVSR Dues $15 for each snowmobile and Resident VT TMA $105.00	$120.00/sled		$
	CTVSR Dues $15 for each snowmobile and Nonresident VT TMA $145.00	$160.00/sled		$
	CTVSR Dues $15.00 for each snowmobile and Resident Vermont TMA Family Rate, first two sleds $105.00 and any additional sleds $60.00	$120.00/sled 1		$
		$120.00/sled 2		$
		$75.00/sled 3		$

	CTVSR Dues $15.00 for each snowmobile and Nonresident Vermont TMA Family Rate, first two sleds $145.00 and any additional sled $80.00	$160.00/sled 1		$
		$160.00/sled 2		$
		$95.00/sled 3		$

	Grooming Donation			$
			TOTAL	$

SNOWMOBILE TMA INFORMATION:
Year Manufacturer Model
Serial # Registration # State/Province
REGISTERED OWNER
MAILING ADDRESS


CLUB MEMBERSHIP INFORMATION:
NAME (if different than owner)
MAILING ADDRESS


E-MAIL
TELEPHONE

Please read the Code of Ethics and the Limited Liability Statement.

The following Liability Statement must be signed, dated and returned with your application to obtain a Vermont TMA

LIMITED LIABILITY STATEMENT

As a member of a snowmobile club I, the undersigned, owner of the snowmobile described above, declare that I am liable for the use of a trail in conformance with the snowmobile laws and rules of the State of Vermont. Without limiting the generality of the foregoing, I declare that I am well aware of the risks related to the presence of tree branches, stones and soil on the trail as well as the risks related to the maintenance and signing of a trail. I consequently declare that I deny my own recourse to any damage, be it of any kind, that could happen to me in the use of a trail.

I also pledge that I will inform any person to whom I would lend or rent the snowmobile that I own, of the risks above mentioned and will advise them that the association, the club or the owner of the trail do not assume any responsibility for the damages they could undergo while using a trail.

Every individual operating a snowmobile in Vermont is required to have personal liability insurance. The minimum required coverage is $25,000 for one injury or $50,000 for two or more injuries or deaths with a minimum of $10,000 property damage. The fine for operating without the insurance is $110.00 plus court cost.

I have read and understand the Code of Ethics and the Limited Liability Statement.

Signature: Date:

VAST TMA and Club Membership Application

TMA Application Form

VAST TMA and Club Membership
Application