The Kansas City 4WD Association Application
P.O. Box 19201, Lenexa, KS 66285 www.KC4WDA.com
Thank you for you interest in joining The K.C. 4WD Association. Our goal is to provide outdoor
and social activities, technical support, mechanical advice, and training for people that love four-
wheeling.
Please remit a $5.00 initiation fee and dues of $20.00 (after August - $10.00) with this
application. Dues are based on a March fiscal year.
My sponsor:_______________________________________________
Name:____________________________________________________
Spouse:___________________________________________________
Emergency Contact:_________________________________________
Name
____________________________________________________________________________________
Address
____________________________________________________________________________________
Telephone
Children’s Names:______________________________________________________________
_____________________________________________________________________________
Address:___________________________________________________
City:____________________________________________ State:___________ Zip:_________
Phone Number:_________________________________________________________________
Home (Unlisted?) Cell Pager
Email:___________________________________________ Home Page:__________________
Vehicle:_______________________________________________________________________
Year Make Type
Modifications Made to Date:______________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
In which states do you trail ride? Kansas Missouri Arkansas Nebraska Oklahoma
Nevada Colorado New Mexico California Arizona Other:_____________________
Do you own land? (For picnics/clinics) Yes No If so how much acreage?_______________
This section is for us to determine what you value in a club. So please be honest and direct in
your answers.
Would you like to have a club that provides: YES Indifferent NO
1. Social activities
2. Family fun
3. Trail information
4. Event information and calendars
5. Technical information
6. Mechanical advise
7. Work days to help a member with a vehicle
8. Work days to help maintain trails
9. Sources for parts and service
10. Interaction with other clubs
11. Planned and organized trail rides
12. Trail Scouting parties
13. Safety information
14. Planned trips to trails such as Moab, Rubicon, Ouray, etc.
15. Monthly meetings
16. Newsletter
17. Retail discounts
18. Special club days at local retailers
19. Parts swap meets
20. Parade entries
21. Scenic group drives
22. Emergency search & rescue volunteer
23. Clinics & Training
24. Community activities
25. Educational activities
What other kinds of things would you like to see, or not see in a club.
Other Comments:
Member Signature: Date:
Sponsoring Member: Date: