MEMBERSHIP APPLICATION FORM. PLEASE PRINT IT, FILL IT OUT AND MAIL IT AS INSTRUCTED!!

FOR GLENELG NORDIC SKI CLUB, SEASON OF 2007-2008,( NOVEMBER-APRIL.)

Single( ) $35 , Family ( ) $ 70, Name,address,phone,Postal code and E-mail (to receive club notices)................................................................................

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This waiver form must be completed when signing for membership in Glenelg Nordic Ski Club. All individuals 19 yrs and age and over must sign their own waiver andunder 19 yrs of age, the parent /legal guardian must sign on their behalf.

I hereby agree to abide by all the rules and regulations of Cross Country Canada (hereafter called CCC), The Southern Ontario Division (hereafter called the Division) and to participate in the events, activities and programmes sanctioned by CCC and the Division in accordance with the Associations Rules, Regulations and Bylaws.In consideration of CCC, the Division and Glenelg Nordic Ski Club, acceptance of me as a registered member of the Association, and my being permitted to take part in the Association's events, activities and programmes, I hereby, for myself, my heirs, executors, administrators and assigns, forever release, discharge, hold harmless CCC, the Division, The Glenelg Nordic Ski Club, it's Directors, officers, employees, representatives or agents.

Full Name of each Applicant ..........sex: M........F...........Age if under 19..........Signature to confirm Waiver Form acceptance

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The Signature(s) above indicate that I/we have read and understand the Waiver. Date:............................................................

Your membership tag(s) will be mailed upon receipt of a completed application and a payment. Family memberships receive two tags. Mail this completed form to Sharon Turner, RR 6 Markdale, Ont., N0C 1H0. Telephone is: 519 986 4423