2007/08 Membership Enrollment Form

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You must be a member in good standing to sign up for a Cape Cod
Ski Club trip. Membership is non-refundable and non-transferable.

FILL IN ALL INFORMATION AND PRINT LEGIBLY.

$45 Annual Membership
or
$15 One-day Membership
(One $15 fee can be applied
to full membership dues)

Annual member: Send this form & $45 check to CCSC Membership c/o Ken Taylor, 24 Popple Bottom Road, Sandwich, MA 02563
One-day only: Send this form, trip reservation and check for bus fare and one-day membership fee to trip leader.
Trip: ___________________________
Name  
MAILING Address  
City, State Zip  
Phone number(s) __________________ (Home) ___________________(Cell/Work)
e-mail address  
Membership status Renew (from last year) New Member Former Member
Gender Male Female
If new member, how did you hear about us?  
Winter sport Downhill Cross Country Snowboard Telemarking
I would permit publishing my home phone number in the newsletter Yes No

I would like to receive the newsletter via:

e-mail OR regular mail
Age Bracket (Minimum age for
membership is 21 years)
 21-30 31-40 41-50 51-60 61-70 71-79 80+
Liability Policy Participants acknowledge that there are inherent risks in skiing, whitewater rafting, and other sports or events, and agree to hold harmless the Cape Cod Ski Club, its employees and agents, from any claims whatsoever resulting from participation in any Club-related activity. The Cape Cod Ski Club acts solely as agent carrying out services and assumes no responsibility or injury, loss or damage to persons or property, nor for faults or defaults of companies or those carrying out services; nor accidents, injuries, delays, cancellations, changes due to weather, baggage, lodging, insufficient participation, or reasons beyond the control of the Cape Cod Ski Club. I HAVE READ AND AGREE TO THE LIABILITY POLICY AND WAIVE ALL LIABILITY.

Signed______________________________Date_______________