Birth Date (MM/DD/YY) Birth Date (MM/DD/YY) Member________________________________________________________ ________________
Spouse's Name___________________________________________________________________
Children 1)______________________________________________________________________
2)______________________________________________________________________________
3)______________________________________________________________________________
Address__________________________________________________________________________
City____________________________________State__________Zip_________________________
E-Mail Address_____________________________________________________________________
Home Phone____________________________Work Phone_________________________________
Referred by________________________________________________________________________
**____ CHECK HERE IF YOU DO NOT WANT YOUR INFORMATION PRINTED IN OUR ANNUAL MEMBER DIRECTORY (distributed to members only)
________NEW Single Membership- $35 ________ NEW Family Membership -$45
________ RENEWAL Single Membership- $30 ________RENEWAL Family Membership $40
All persons twenty-one (21) years of age, regardless of race, color, sex or creed, and regardless of geographic location, are eligible for individual membership. Your membership covers activities, monthly meetings held from September through April, ten informative newsletters, participation in group discounts for our trips and many discounts from local merchants. Your membership is good through June 30, 2009.
I (we) do hereby absolve, release and waive any and all liability claims or demands against the Kanawha Ski Club, its officer, directors and each and every member thereof, which may arise out of, or be related to, any injury, damage or pecuniary loss to me or any member of my family by reason of such club membership and participation in club sponsored activities.
I (we) understand that by action of the Board of Directors, my membership in the Kanawha Ski Club also includes membership in the Crescent Ski Council, Inc.
Spouse's Signature_____________________________________For office use only:
Date Received:___________ Membership Card Issued:__________ Added to Membership File: ___________
ACTIVITIES - To help us plan our non-skiing activities, we need to know what else our members like to do. From the list below, please check all of the sporting and social activities in which you are interested, or add your own if we didn’t include your favorites. Some of these also could be used as meeting themes.
| ______ Hiking | ______ Raft/float trip | ______ Canoeing |
| ______Boating/fishing | ______Water skiing | ______Golfing |
| ______ Fitness/aerobics | ______ Scuba outings | ______ Volleyball |
| ______ Rollerblading | ______ Bowling | ______ X country skiing |
| ______ Ice Skating | ______ Mountain biking | ______ Par 3 Golf |
| ______ Wine Tasting | ______ Camping | ______ Casino night |
| ______ October fest party | ______ Seafood feast | ______ Scenic RR Trip |
| ______ Halloween party | ______ Amusement park | ______ Charity work |
| ______ Supper club | ______ Summer cruises | ______ Other (list below |
| ______________________________________________________________________________________ | ||
| ______________________________________________________________________________________ | ||
CLUB COMMITTEES - Kanawha Ski Club needs people to help on committees and train to fill club jobs when the current occupants can no longer serve. Participating is a great way to meet people in the club. Want to help? Just check beside one or more items listed below.
| ______ Newsletter Advertising | ______ Trip Leader |
| ______ Dine-A-Mate Sales | ______ Door Prizes (for meetings) |
| ______ Work at Civic Center | ______ Newsletter Editor Trainee | ______ Scrapbook | ______ Programs (for meetings) |
| ______ Webmaster | ______ Fundraising |