United States Tug of War Association Membership Application
Name: _______________________________________________________________________________________________
Address:_______________________________________________________________________________________________
City:______________________________________________________State:_____________Zip:________________________
Home phone:____________________________________________________________________________________________
Cell phone:______________________________________________________________________________________________
Email address:___________________________________________________________________________________________
Date of birth:____________________________________________________________________________________________
This is an application to become a member of the United States Tug of War Association. This application MUST be completed
and accepted before full membership can be granted. The USATOWA is a not for profit organization. Membership fees are $30
per year per person. Please read the following conditions before you sign.
In consideration of my participation in the sport of tug of war the undersigned independently and collectively and on behalf
of himself/herself, his/her heirs, legatees, personal representatives and all those claiming by or through him/her, contest
to and does hereby discharge, release, and hold harmless the United States Amateur Tug of War Association from any and all
claims, actions, losses, damages or expenses for personal or bodily (including death) and property loss or damage incurred
by him/her or arising out of or in connection with his/her participation in the aforementioned association. Any Individual
whose signature does not appear on this form will not be considered for membership and therefore, disqualifies that individual
from participation.
I have read the foregoing and am of legal age to consent to this waiver.
_____________________________________________________________________________________
Signature of applicant Date
_____________________________________________________________________________________
Signature of USATOWA officer Date
If the applicant is seventeen (17) years or under, fourteen (14) years and older, this application must also be signed
by his/her legal guardian or parent.
_____________________________________________________________________________________
Signature of legal guardian or parent Date
Please mail to:
Amy Breuscher
USATOWA Secretary
P.O. Box 68
Hollandale, WI 53544
Please see reverse side for membership profile.
Dear Members,
We are planning on preparing a media guide of our USATOWA members. The purpose of this is twofold. First, we would like
members to have a chance to get to know one another. Second, we would like to have information for our announcers to use during
competitions.
Please do not disclose any information you do not want published or announced. Please keep your answers "G" rated please.
Member profile:
Personal information: (for example: married, children, etc.)
Profession
Favorites: Food:
Vacation spot:
Sport other than tug-of-war:
Book:
Movie:
Person most admired:
My most prized possession:
One word that describes me:
What year did you start pulling:
What you like most about tug of war:
What you like least about tug of war:
Most memorable tug-of-war achievements:
Accomplishments outside of tug of war:
Most embarrassing thing that has happened to you relating to a sporting event:
What motivates me?
Is there anything else about yourself that you would like others to know:
Please submit a photo of yourself, via mail or email usatowasecretary@hotmail.com.
