MEMBERSHIP APPLICATION
Appalachian Area Chapter of Blacksmiths
Name: _____________________________
Address: ___________________________
City: ______________________________
State and Zip: _______________________
Phone: _____________________________
Email: _____________________________
Dues are $20 per year. Please this page, fill it out, and mail with your check for dues make your check payable to the Appalachian Area Chapter of Blacksmiths
Please print this page, fill it out, and mail with your check for dues to:
Jeff Clawson, Secretary/Treasurer
P.O. Box 250
Spring City, TN 37381
Appalachian Area Chapter of Blacksmiths Liability Release Statement
I, the undersigned, realizing the potential hazards associated with the craft of blacksmithing, will not hold the Appalachian Area Chapter of Blacksmiths, its officers, demonstrators, or any member responsible or liable in the even of an accident or injury incurred during a chapter function, including, but not limited to chapter meetings, classes and demonstrations.
I am aware of the requirement to wear safety glasses during all demonstrations and while working at chapter member forges. I am also aware of the danger of hearing damage due to the nature of the craft and accept responsibility of taking the necessary steps to protect my hearing.
I further agree to inform any family members or guests that I may bring to a chapter function of potential dangers and will advise them to take all necessary precautions.
Signature_________________________ Date ___________________
