* means that this field is required.

*First Name:
*Last Name:
Nickname:
Birthday:

*Address:
Address2:
*City:		*State:		*Zip:

*Email:
Home Phone:
Cell Phone:
Work Phone:

*MINI Model:	Cooper Cooper S Cooper Cabrio Cooper S Cabrio Clubman Clubman S On order Planning on a Cooper Planning on a Cooper S Thinking about a MINI MINI One Don't want one, just interested.	*Year:	2002 2003 2004 2005 2006 2007 2008 2009 Classic
*Body Color:	Liquid Yellow Mellow Yellow Electric Blue Indi Blue Cool Blue Hyper Blue Laser Blue Lightning Blue Space Blue Oxygen Blue Hot Orange Black Eye Purple/Purple Haze Solid Gold Dark Silver Pure Silver Sparkling Silver Royal Grey Pepper White Silk Green British Racing Green Chili Red Velvet Red Nightfire Red Solar Red Jet Black Cosmos Black Astro Black Non-standard MINI color	*Roof Color:	Black White Silver Cabrio Body color Other
License plate:

Options (include packages, wheels, engine mods, interior mods, stereo, graphics, etc.)

*Shirt style:

T-shirt

S M L XL XXL XXXL

Only select a size for the shirt style you chose


Do you give the SCMC permission to list your information in the club's printed phone directory?
*MARK ONE:
 Yes
No

How did you find us?

SCMC business card Online search engine MINI Online community Other website Friend Met a member Other

What days and times are good for you to attend club events? (select all appropriate)

Day	Morning	Afternoon	Evening
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Sin City MINI Club Liability Waiver & Release Agreement

By participating in the Sin City MINI Club, events, and meetings, I represent that I am at least 18 years of age and have a valid driver's license and auto insurance and agree to the Sin City MINI Club Constitution and Bylaws. A copy of the Constitution and Bylaws may be requested by e-mail at anytime and is the responsibility of the member to request said documents. I also agree to submit the annual dues within 30 (thirty) days of application or renewal date, or else my membership will be nullified. I further represent that I am not taking any drugs or medication, nor do I have any physical or mental limitations, which would interfere with my safe participation in the club or its events. I recognize that the operation of any vehicle is an inherently dangerous activity with a risk of damage or loss of or to the vehicle and serious injury or death to me and or any passengers that may be in my vehicle. I understand that these risks include, but are not limited to, road surface conditions, debris on roads, varying road widths, curves, other vehicles, pedestrians sharing the roadway, and the skills of other participants. 

In consideration for being permitted to participate in the Sin City MINI Club, I the undersigned on behalf of myself and my passengers, heirs, executors, administrators, assigns and legal representatives, agree and indemnify, defend and hold harmless Sin City MINI Club and their representatives, individually and in the capacity indicated, from and against any and all damages, claims, suits, causes of action to and against a person and property, (including but not limited to attorney's fees) arising in connection with or related to my participation.

Furthermore, I assume all risk of injury and loss, waive and release any claim of damage and injury of any nature I might state against Sin City MINI Club and their representatives, who assist in the capacity indicated, arising out of my participation.

I have been offered the opportunity to consult with the legal and/or other advisors of my choice before signing this Unconditional Waiver and Release, and I enter into freely and on behalf of myself and my heirs, successors, and assignees.

This Unconditional Waiver and Release shall be constructed under the laws of the State of Nevada, and the exclusive venue for the resolution of all disputes pertaining to Sin City MINI Club shall be in the appropriate municipal, state, or federal court, located closest to Las Vegas, NV. Should the Release Parties need to retain counsel to enforce the provisions hereof, the prevailing party in any such action shall be entitled, in addition to any other relief, to recover his, her, or it's attorney's and expert's fees.

I accept the Liability Waiver & Release Agreement

I HAVE READ AND UNDERSTAND THIS WAIVER AND RELEASE
Agree
Disagree

* means that this field is required.