[The Nicola Nordic Ski Club maintains trails in the Kane Valley, south of Merritt, B.C.] Nicola Nordic Ski Club
2009-2010 Membership Form.
Please print the form, fill in the information, sign it and mail it and your cheque to:
Nicola Nordic Ski Club
Box 1499, Merritt, B.C.  Canada V1K 1B8
Individual Membership: $40.00 [     ] Family Membership:     $80.00 [     ]
Last name: First name:
Mailing Address:
Street:
City Prov./State             Postal/Zip Code:
Telephone - Home: Work:
E-Mail:
Please list below additional family members under 19 years of age and living in the same household.
Last name: First name:
Last name: First name:
Last name: First name:
Last name: First name:
Last name: First name:
Last name: First name:

Waiver

   I hereby agree to participate in the events, activities and programs sanctioned by Nicola Nordic Ski Club (NNSC) in accordance with the NNSC Rules, Regulations and By-laws. As a registered member of the NNSC and my being permitted to take part in the NNSC's events, activities and programs, I hereby, for myself, my heirs, executors, administrators and assigns, forever release, discharge, hold harmless the NNSC, its directors, officers, employees and representatives or agents.
Signature: Date:
 
For Office Use Only Entered in database [     ] To Treasurer [     ] Badges mailed [     ]
Revised 2009-10-13 Date: Date: Date: