Alyssa_form

Membership*

New (First time member)
Renewal (Existing member)

Type of Membership

Standard membership include: 1 year newsletter subscription, iron patch & helmet decal. Premium membership also include club lapel pin.

Single ($15)
Couple ($18)
Single Premium ($20)
Couple Premium ($23)

Membership Total

$0.00

Name*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Date of Birth

Couple Name and Date of Birth

Name*

First Last

Date of Birth*

Additional Information

Can we share your email address with other members?

We only share with other members.

Yes
No

I agree to waiver

I understand and am aware that skiing is a HAZARDOUS activity. I understand that the sport of skiing, travel to and from the ski area and other activities with the 70+ Ski Club involve a risk of injury to all parts of my body. I hereby agree to freely and expressly assume all risks of injury while skiing, travel to and from the ski area and activities with the 70+ Ski Club. I agree that I will release the 70+ Ski Club and its officers from any and all responsibility for injuries or damages to me or to any other person. I have carefully read this agreement and release of liability and fully understand its contents. I am aware that this is a rule of liability and a contract between me and the 70+.

Yes
No

Comments / Message

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Couple Name and Date of Birth

Additional Information