Downhillers Ski Club
Annual Membership Form/Liability Waiver
August 1, 2011- July 31, 2012
Name 1 ___________________________________________________________
Name 2 ___________________________________________________________
Address ___________________________________________________________
[ ] Check if this is a change since August 1, 2010.
E-Mail Address 1 _________________ E-Mail Address 2 __________________
Phone 1 (home) ___________________ Phone 1 (home) ____________________
Phone 1 (work) ___________________ Phone 2 (work) ____________________
Date of Birth 1
Date of Birth 2 ____________________
This "Liability Waiver" must be signed and on file with the Downhillers Ski Club prior to participation in any activity, trip or event. This waiver covers all events in the 2010-2011 membership year.
By signing this waiver, I certify that I understand that the activities in which I will participate, carry inherent risks of accident, personal injury and/or death. I know that participation in sporting and recreational activities increases these risks of potentially severe injury; that there are natural and man-made obstacles and hazards, and surface and environmental conditions at the site of such activities, which may compound the risks; and that neither the Downhillers Ski Club nor its members and /or representatives can control these risks.
I, therefore, agree that I am totally responsible for my safety while participating in all aspects of any Downhillers activity. In the event of any injury, I acknowledge that I have assumed all the risks of same, and I will not hold the Downhillers Ski Club or any of their representatives or agents liable for such injury, except in the case of their own willful misconduct.
I HAVE CAREFULLY READ THE "LIABILITY WAIVER", AND I UNDERSTAND COMPLETELY WHAT IT SAYS. I AM SIGNING THIS WAIVER VOLUNTARILY IN ORDER TO PARTICIPATE WITH THE DOWNHILLERS SKI CLUB.
Signature 1 ______________________________ Date: ____________________
Signature 2 _______________________________ Date:____________________
Single: $30.00 -
Renewal
Married Couples: $50. 00 - Renewal
Single: $35.00 - New Member Married
Couples: $55.00 - New Member
Make check payable to: DOWNHILLERS SKI CLUB
Print this page and mail with your check to:
Downhillers Ski Club
c/o Kevin Krueger
PO Box 39
Nashotah, WI 53058
E-mail - membership@downhillers.org
Telephone - 414-530-4364