MEMBERSHIP APPLICATION

Membership Application

Instructions

Please complete the application for each family member to become a member of Active Southern West Virginia.  If you are filling out an application for a child without an email, please use your own.

By submitting your application, you are agreeing to the terms of the waiver.

Select An Option
Enter Contact Information
Please select a valid membership option and fee item if exist
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NOTICE: The volunteers, participants, and partners acknowledge and understand that exposure to disease-causing organisms, such as COVID-19, and personal contact with others, including but not limited to participants, non-participants, organizers, volunteers, onlookers, and other individuals in the activity/program involves a certain degree of risk that could result in illness, permanent disability or death. Participants acknowledge that Active SWV has not screened or tested any of the participants for such diseases. After fully and carefully considering all the potential risks involved, participants hereby assume the same and agree to release and hold harmless Active SWV and its employees, officers, agents, volunteers, vendors, and contractors from and against all claims and liability resulting from exposure to disease causing organisms such as COVID-19.