Owen Sound Cross Country Ski Club
2009-2010 Membership Form
Members to sign the attached CCC waiver so that we will be covered by their insurance
Please check [__] membership purchased.
[__] Single $25
[__] Family $40 *
(*) Please note that a "family" consists of no more than 2 adults and their dependent children. Waiver must be signed by all persons 18 and over and signed by parents or guardian on behalf of persons under 18.
I/We the undersigned hereby waive our rights against, indemnity and save harmless the Owen Sound Cross Country Ski Club Inc., its Directors and Officers, from and against any and all losses, costs, expenses, claims, causes of action, demands and damages, of whatsoever nature, kind and extent, and howsoever and by whomsoever caused and by my/our signature(s) hereunder do hereby agree to abide by the Club’s rules and regulations.
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Names(s) (please print)
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Signature(s)
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Address
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Postal Code
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Phone #
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E-Mail:
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Has the above changed from the last year? [__] yes --- [__] no
Dated:
- Day ____________ Month___________ Year ____________
New members will receive a button and sticker. Existing members will receive a sticker for each of your OSCCSC buttons unless you specifically request replacement buttons.
- # of Replacement Buttons requested: _____
Return To:
Owen Sound Cross Country Ski Club Inc.
P.O. Box 1033
Owen Sound, Ontario N4K 6V6
www.owensound.org/Ski
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