RACING TEAM
2012 – 2013 MEMBERSHIP
Note: You must be a current paid member of the
Columbia Ski Club in order to race.
NAME:
ADDRESS:
CITY,
STATE, ZIP:
Home
Phone:
Work Phone:
E-mail
Address:
Age: Date of Birth: Male: Female:
Previous Racing Experience:
1.
Crescent Series: Yes No Club:
2.
NASTAR: Yes No Gold Silver Bronze
3.
Other:
If
you have no racing experience, please indicate your skiing ability:
Beginner: Adv. Beg.: Low Intermediate:
High
Intermediate: Advanced: Expert:
Are
you interested in weekday ski trips? Yes No Comment:
Can
we list you for sharing your vehicle with other racers needing a ride?
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AGREEMENT:
I agree to abide by the Crescent Ski Council and the Columbia Ski &
Adventure Club Racing Team Rules. I do hereby absolve, release, and waive any
and all claims and demands against the Columbia Ski & Adventure Club, its
officers, 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 the racing
program.
Signed: Date:
Mail this completed
form with $35.00 registration fee to: Jim Littlejohn, Racing Director
Please make all payments by check made
payable to: