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Mid-Hudson Valley Corvette Association Membership Application

Required Indicates Required Field
Street, City, State and Zip Code
Corvette(s)
Year, Color, Style (Coupe, Conv., Z06, etc.)
Year, Color, Style (Coupe, Conv., Z06, etc.)
Year, Color, Style (Coupe, Conv., Z06, etc.)
Other "Stimulating" Automobiles (Ferrari, Mustang, Cobra, Camaro, Challenger, etc.)
Year, Color, Style (Coupe, Conv.)
Year, Color, Style (Coupe, Conv.)
Acknowledgement
10/29/2026 0321

MHVCA Membership Agreement

(This version supersedes all prior editions and applies to all members of the Mid-Hudson Valley Corvette Association, Inc.)

By signing below, I authorize the Mid-Hudson Valley Corvette Association, Inc. (MHVCA) to register me as a member. I understand that membership is contingent upon maintaining a valid driver’s license. I agree to comply with all MHVCA By-laws throughout the duration of my membership.

I further affirm that I will maintain current and valid insurance coverage for any vehicle I operate during participation in any and all MHVCA events or activities. I hereby release MHVCA, including its members, officials, sponsors, employees, agents, and associates, from any and all liability. I agree to indemnify and hold them harmless from claims or damages arising from individual acts of negligence or recklessness.

By my signature, I also affirm that within the past five (5) years, I have not been convicted of, nor pled guilty to, any serious driving infraction involving criminal conduct. This includes, but is not limited to, vehicular assault, uninsured operation of a motor vehicle, reckless driving, driving while intoxicated (DWI), or driving while ability impaired (DWAI). I further confirm that my driver’s license and automobile insurance have not been denied, revoked, restricted, or voluntarily surrendered due to criminal charges.

I declare that all information provided is true and accurate. I understand that I am required to notify MHVCA in writing of any changes to the above information and provide documentation as necessary.





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