Please read this Liability Waiver before submitting form Daily Membership Name(Required) First Last Address(Required) Street Address Address Line 2 City State Zip Code Phone(Required)EmailIf you provide your email address, you'll receive an online invoice for your membership dues, as well as announcements of future B&B events. What type of daily membership would you like?(Required) Adult = $10.00 per day 1st Child <16 add $2.00 2nd Child <16 add $4.00 3rd Child <16 add $6.00 > 3 Children, add $2.00 per child < 16 Child(ren)'s Name(s)Check this box if:(Required) You understand and agree to the terms of the Boot and Bottle Club Liability Waiver. (Click the red button above to read the waiver.)Let my initials entered below serve as my handwritten signature.(Required)My initials also acknowledge my agreement to abide by the Liability Waiver on behalf of my minor child(ren) listed.