MEMBERSHIP APPLICATION
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The following Application Form is to be printed out and completely filled out. Thereafter the form with the application fee must be mailed or hand-delivered with the Membership Fee (see the constitution for that amount) to the following address for approval by the Vice-President of the MHDA:
Mid-Hudson Diving Association
14 Deerpath Dr
New Paltz, NY 12561-2811
PAGE 1:
PAGE 2 (Officially the reverse side):
If the applicant must put a YES on any line to the left of any of the following items , that person MUST have a physician fill out the portion below indicating the applicant may still scuba dive safely with the medical condition as stated. If all the applicant puts a NO on all the lines before each item there is no need to have a physician sign this form.
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