Name* First Last Phone*Email* Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Membership Type* Full Membership Includes event discounts and CARS licence applications. Membership is yearly (expires Dec 31)** Non-prorated, subject to change. Associate Membership: Does *not* include event discounts or CARS licence applications.Membership Type*Full Membership - $40Associate Membership - $20New Membership or Renewal?*New MembershipRenewing MembershipHow did you hear about IRSA?WAIVER: In consideration of the acceptance of this application or of my being permitted to become an I.R.S.A. member, I, for myself, my heirs, executors, administrators, successors, and assigns, agree to save harmless and to keep indemnified the Interior Rally Sport Association, Rally Pacific Motorsports Association, Canadian Association of RallySport, and their respective agents, officials, servants and representatives, from and against all actions, claims, costs and expenses and demands in respect to death, injury, loss, or of damage to any person or property howsoever caused, arising out of, or in conjunction with, my taking part in any I.R.S.A. event, and notwithstanding that the same may have contributed to or occasioned by the negligence of the said bodies, their agents, officials, servants or representatives.Are you over the age of majority?*YesNoAgreement to Waiver* By submitting this form, I certify that I have read this document and fully understand that I am not relying on any statements or representations of any of the released Parties involved. This document will be binding upon heirs, my executors, administrators, assigns and me. Parents Name* First Last Parents Phone*Parents Email*The e-mail cannot be the same as the one used for the entrant. Parental Consent*Parental Consent is required to join our membership since you are under the age of 18. Please download and print this form and have your parents fill it out. Once your parents have filled it out, please scan and e-mail it to email@example.com Alternatively, you can also mail it to Interior Rally Sport Association at the following address. Please take into account mailing times as you will not be allowed to join until we receive this form. I am aware that parental consent is required to join this association and my membership application will not be considered complete until the above consent form has been received by the Interior Rally Sport Association. NameThis field is for validation purposes and should be left unchanged.