NEW MEMBERSHIP APPLICATION (2009/2010)

Please complete all information, including your area code, e-mail and committees/activities you would be interested in participating in.  Be sure to SIGN THE WAIVER below.  Also, one parent must sign for children, if applicable.  Make all checks payable to WESTMORELAND SKI CLUB.  Send dues and form to:  Susan Headley, 413 Eton Drive Greensburg, Pa 15601 or bring them, with this form to the next meeting.

Name(s):____________________________________________________________________

Children’s names and ages (if applicable)____________________________________________

Are you interested in organizing a children’s event?________________

Address:____________________________________________________________________

City, State, Zip______________________________________________________________

Phone: Member Name:____________ Main:_________________Other:_____________________

Member Name:____________ Main:_________________Other:______________________

Skizette by Email? Yes____No_____Email Address:_______________________________________

Dues:  $30 / Associate ______     $50/ Family ________     $10 / Junior (under 21)______

Note: A family membership is being offered.  If children under the age of 21 are joining, one parent must sign the waiver line indicated for the children.  Please list the children’s names and ages on provided line.

Please consider making an optional donation towards our lodge improvements. 

Donation:  $___________

Please select any committee or activities you are interested in:         

Committees:     Lodge    Membership    Programs    Publicity    Ski Activities    Skizette    Social    Trips

Activities:           Alpine   Cross Country    Nordic    Snowboarding

WAIVER: In consideration of mutual agreements signed by all other members of the Westmoreland Ski Club, the undersigned waives all right to claim for any injury, loss, or damage arising through any activities of the Westmoreland Ski Club, and agrees to hold harmless the Westmoreland Ski Club, its officers, and each of its members for any liability of claims as described above.  I have read this release in full and understand it.

DATE:  ___________        SIGNATURE :  ____________________________________________

DATE:  ___________        SIGNATURE :  ____________________________________________

DATE:  ___________        SIGNATURE :  ____________________________________________

                                                              Parent of Children, if applicable

Our membership meetings are held the 2^nd Wednesday of the month, October through April at Jioio’s in North Huntingdon on Rt. 30.  Meetings start at 7pm, so come early for dinner and Socialization