Onondaga Ski Club Membership Application Form

First Name:
Last Name:
Street Address: Apt.
City: State: ZIP:
Phone: (###-###-####):
E-Mail Address:

* For your convenience, we have designed this form so that you can type your information into it and then print the completed form (Form will not be processed unless signed and dated below. Each member must complete a form).

New Member $25	Renewal $20	Junior $10
Paper Schussboomer Add $10	Dual Ski Hawks Membership Add $10	Past President
	Total Payment:

*Junior Member Sponsor: Relationship

* Note: Junior Members [age 13-17] must be sponsored by his/her Parent, Grandparent or legal guardian who is also a club member in good standing.

	Check if you give permission to have your name, phone number, and e-mail address included in the Onondaga Ski Club Directory that is listed on our website(www.osc-ski.org). Members use the list to facilitate contact with each other.
	Check this box if you would like to receive news of club events by e-mail.
	Check this box if you primarily joined OSC for the purpose of using the Lodge in Vermont.

Please check your activity interests

Bicycling	Golfing	Running	Ski - X-Country	Scuba	Waterskiing
Camping	Hiking	Sailing	Ski Racing	Tennis	Wine Tours
Canoeing	Ice Skating	Softball	Snow Boarding	Volleyball	other
Kayaking	Rollerblading	Ski - Downhill	Swiming	White Water Rafting

By signing this membership application to the Onondaga Ski Club, I recognize that any athletic or outdoor activity involves a degree of risk and I willingly and knowingly accept such risks associated with Onondaga Ski Club outings/events/trips, and therefore I, my family, and/or my heirs agree to release from any liability forever the Onondaga Ski Club, its officers, directors, members, associates, or agents, for any personal injuries or my death as a result of my taking part in any event/outing/trip that the club offers.

Legal Signature ___________________________________ Date ________________

MAIL FORM AND PAYMENT TO:
Bob Wiley
Onondaga Ski Club
PO Box 415
Tully, NY 13159

To start over, clear the form by clicking the Clear button.

FOR MEMBERSHIP COMMITTEE USE ONLY
Amount Received: ___________ Check Cash Money Order
Processed Date: ________________ Card Sent:________________