CoA4WDCi - FtCollins FEAT Application


	P.O. Box 150434 * Lakewood, CO 80215 * (303) 857-7992

F.E.A.T. Fort Collins Metro Area
Program Application & Information Change Form

This application is to join the Fort Collins Metro Area Chapter of the Four wheel Emergency Assistance Team, A program of the Colorado Association of 4 Wheel Drive Clubs, Inc. (CoA4WDCI). You need NOT be a member of CoA4WDCI or one of its clubs. You are NOT eligible to join FEAT if you have:

• No driver’s license or the state required insurance
• If you have a DUI or Felony conviction

By submitting this application, you are agreeing to a background investigation by the Colorado Bureau of Investigation

Please provide the following contact information:

Is this a new application or an update?: New Application / Updated or Information Change

First Name:

M.I.

Last Name:

Birthdate

Month

Day

Year

Street:

City:

State:

ZIP

Phone:

Home	xxx-xxx-xxxx	Work
Cell

E-mail:

Do you belong to an 4WD or OHV Club. Yes / No
Which Club:

Name, address and phone number of person to notify in case of emergency:

First Name:

M.I.

Last Name:

Phone:

Home	xxx-xxx-xxxx	Work
Cell

I hereby apply for membership in F.E.A.T. and agree to abide by the established rules and regulations of the organization and I agree to a background investigation. I understand that as a F.E.A.T. volunteer, I must furnish my own vehicle, insurance and gasoline. I further understand that neither F.E.A.T. nor the Colorado Association of 4 Wheel Drive Clubs, Inc. nor the City of Fort Collins, or their employees will be held responsible for any accidents or damages to my vehicle or other vehicles or private property in which I may be involved during my work as a F.E.A.T. volunteer.