SAN DIEGO
SKI CLUB
MEMBERSHIP APPLICATION
July 1 through June 30*
Last Name_________________________ Date of Application _______________
Adults: First Name Date of Birth Occupation
______________ ______________ ____________________________
______________ ______________ ____________________________
Children
(under 23 years)
______________ ______________
______________ ______________
______________ ______________
Address:
Street____________________________________________________________________
City________________________________State______ZIP_____________+_________
Home Phone # (_____)
_________________ Cell Phone
# (_____) __________________
E-Mail:________________________________________________________
(Print Carefully)
CIRCLE ---
Category and amount enclosed:
Associate
Family Single (Newsletter Only)
Membership
Fees: $65 $55 $20
CIRCLE method of newsletter delivery: 1. email 2. mail via USPS
Circle
which committee you would like to work on:
1.
Newsletter 5.
Programs 8. Membership 11. Council Rep
2.
Adult Racing 6.
Activities 9.
Nominating 12.
Other________________
3.
Junior Racing 7.
Travel 10. Meeting Host at Your House (which month?)
4. Chalet
Make
your check payable to "San Diego Ski Club", and send to:
Amelia Putnam Phone: (858) 882-7273
8780
Shoreham Dr. #308 E-Mail: ameliaputnam@gmail.com
West Hollywood, Ca. 90069
LIABILITY
WAIVER must be included with membership application
_____________________
*
New members registering after March 1st will have their memberships
extended
through June 30th
of the following year.
Date
Received _________ Amount Received
___________