Menihek Nordic Ski Club
Membership Form
2004/2005 Season
| Family Membership |
$230.00 __________ |
| Single Adult Membership |
$135.00 __________ |
| Junior Membership (19 & Under) |
$45.00 __________ |
| Senior Membership (60 & Over) |
$75.00 __________ |
| Locker Rental |
$30.00 __________ |
| Touring Challenge |
$5.00 __________ |
| Ski your Best ($10.00 per lesson; registration free) |
__________ |
| NF & Labrador Corss Country SKi Association
Fees |
|
| (All Members 13 yrs & Over) |
$8.00 x _____ |
= __________
| |
|
|
|
|
| (All Members 12 yrs & Under) |
$1.00 x _____ |
= __________
| |
| Total |
= __________ |
|
| Name: ________________________
|
Phone: ________________________ |
| Address: __________________________________________________________________
|
| Postal Code: ________________________
|
E-mail: ___________@___________ |
| |
| Dependants: ________________________
|
Ages: _________________________ |
| ________________________
|
_________________________ |
| ________________________
|
_________________________ |
| ________________________
|
_________________________ |
Club Wavier
I hereby agree to abide by the rules and regulations of the Cross Country Canada, NF
division and to participate in the events, activities and games sanctioned by the Cross
Country Canada, NF division in accordance with the Association’s rules, regulations and bylaws.
In consideration of Cross Country Canada, NF division and the Menihek Nordic Ski Club,
acceptance of me as a member of the Association and my being permitted to take part in the
Association’s events, activities and games, hereby for myself, my heir, my executors,
administrators and assigns, hereby forever release, discharge and hold harmless Cross Country
Canada, NF division and the Menihek Nordic Ski Club, its directors, officers, employers,
representatives or agents.
| Name: ________________________ |
Date: ________________________ |
| Signature: ______________________________________________________ |
| Parent or Guardians Signature (under 19) ____________________________ |
Would you like to be a volunteer with the Menihek Nordic Ski Club? Yes _____
No _____
"Ski At Your Own Risk"
Happy Trails