Cayuga Nordic Ski Club Membership Form for 2007-2008

enter your information and then print the form, or save the file, enter information and print later
-- then sign the waiver and mail the form with your check

Name(s)



home phone
work phone
email  
street address   city, state & ZIP
membership class and fee
new member    renewal    individual ($5/yr)    family ($10/yr)  

Nordic skiing interests
touring    racing    ski orienteering    telemark    other  
please check all that apply
 do NOT include me in the January 2007 edition of the club directory
 I prefer to receive the newsletter electronically
 I'm willing to lead or co-lead a ski tour
 I'd help with the Cayuga Nordic Classical Race
 I'd like to receive a membership card
qualifications/restrictions and instructions
  1. Sign waiver below. Those who are under 18 years of age must have a parent or legal guardian co-sign.
  2. Each family member over 18 must sign below. If necessary, use extra forms.
  3. Checks should be made payable to the Cayuga Nordic Ski Club
  4. Mail completed form with check to:
Cayuga Nordic Ski Club
487 Ringwood Rd
Freeville, NY 13068
Waiver
In consideration of my being accepted as a member of the Cayuga Nordic Ski Club, I do hereby waive for myself, my heirs, executors, administrators and assigns all claims and rights for damages I might have against the Cayuga Nordic Ski Club, its agents, representatives and assigns for any and all injuries suffered by me, including death, or for damages to skis or personal property while participating in the races, tours, clinics, or other events sponsored or organized by the aforementioned club. This also pertains to travel to and from the starting point of any such event. I further certify that I have no physical defect or weakness that might make participation in these events harmful to me.
Signature(s)