WISCONSIN GARDEN TRACTOR PULLERS, INC.
MEMBERSHIP APPLICATION AND LIABILITY RELEASE FORM

Name:______________________________________ Age:_______ No. of Yrs. Pulling:_______

Address:____________________________________ Phone #:____________________________

City:___________________________ State:_______ Cell Phone #: ________________________

Zip Code: _______________ Email: ________________________________

Classes to choose from:
Stock = (S) Lt. Pro Mod = (LPM)  Pro Stock = (PS)  Hvy Pro Mod = (HPM) Lt. Super Mod = (LSM)  Hvy Super Mod = (HSM)  Open Super Stock = (OSS)  Outlaw = (O) Unlimited Outlaw = (UO) Heavy Unlimited Outlaw (HUO)


















Misc. Information such as: Owner/Builder, Sponsors, Awards, Championships, ect...: 
________________________________________________________________________________

________________________________________________________________________________

  Waiver: (Note: Parent or Guardian must sign for minor child)
  I agree to indemnity Wisconsin Garden Tractor Pullers, Inc. (Club) and all of its related organizations 
 (Promoters and Weight Transfer Machine Owners/Operators), directors, officers, and volunteers, and 
 hold same harmless from and against any and all damages, liabilities, costs and expenses (including 
 but not limited to attorney's fees) which may be incurred as a result of my participation in any Club 
 event or activity.

 I agree that by signing this from I release and discharge Wisconsin Garden Tractor Pullers Inc., its 
 directors, officers, members, owners/operators of the weight transfer Machine, and Promoters of 
 W.G.T.P. pulls from any and all known or unknown damages, injuries, losses, judgments and/or claims 
 from any causes whatsoever, that may be suffered by entrants, family members, or guests while 
 attending or participating in said events. I also understand that each participant will be solely 
 responsible for his/her own vehicle and personal property.

 I state that I am of lawful age and legally competent to sign this document; that I understand the terms 
 herein; and that I have signed this document as my own free act.

Child’s Name (print):__________________________Relationship:______________________

Driver/Parent Name (print): Signature:________________

Dated:___________ Full Membership Fee Paid $_________ Trial (One Day) Fee Paid $__________

Accepted on behalf of W.G.T.P. INC. by:Title:______________________________
Date:_____________________




Print Version
1st Tractor
Class(es)__________________________________

Tractor Name: ______________________________

Tractor Make &
Model: ____________________________________

Engine Make &
Model:____________________________________

Other Tractor Info (fuel, modifications, ect..)
__________________________________________

__________________________________________
2nd Tractor
Class(es)__________________________________

Tractor Name: ______________________________

Tractor Make &
Model: ____________________________________

Engine Make &
Model:____________________________________

Other Tractor Info (fuel, modifications, ect..)
__________________________________________

__________________________________________.
MEM_APPL-2014.pdf