TEXAS SKI RANGERS MEMBERSHIP APPLICATION 2016- 2017 Membership Fee - $50.00 per Adult, Children under 18 complimentary with an adult membership Non-Resident (out of State / out of DFW area) $45.00 per adult Texas Ski Rangers membership period runs June 1 to May 31 of each year After Summit/AMCC, membership is discounted to $25 (for both resident and non-resident) for the remainder of the membership year PLEASE COMPLETE ALL FIELDS ON APPLICATION TO CONFIRM PERSONAL INFORMATION IS CORRECT NEW MEMBER___ RENEWAL___ Name 1st Adult: _______________________________________ Age_____ Birth date _____ T-Shirt size___ Name 2nd Adult: _______________________________________ Age_____ Birth date _____ T-Shirt size___ Address______________________________________________ City____________ ST____ Zip_________ Home Phone______________________________ Office/Cell__________________________________ Email Address: ___________________________________________________________________________ The information provided below is used for NBS Marketing Statistics only. This information is confidential and will not be shared with other entities. Please complete all sections. Marital Status Married______ Single______ Divorced______ Salary (optional) Under 35k______ 35k – 100k______ Over 100k______ Education High School______ College______ Degree Y___ N___ Ski or Snowboard Ski_____ Snowboard_____ Both_____ Ability Level Never Ever_____ Beginner (1 or 2 lessons) ____ Intermediate____ Advanced____ Average number of ski trips per year ______ Children (of skiing ages 3 – 17) Ski__ Snowboard__ Both__ Name/Age(s) ____________________________________________________________________________ Please select if you are interested in working on one or more of the following committees: [ ] Public Relations [ ] Newsletter [ ] Activities [ ] Membership [ ] Youth [ ] Trip Leader **Non Resident Membership: Qualifying members must reside outside of the Metroplex and surrounding areas or reside outside of the State of Texas. Non-Resident Members will be considered financial for all club trips. However, they will be required to pay full ticket price for any Club functions. No member living in the Metroplex or surrounding areas can apply for Non-Resident status. This is a courtesy offering to members of other ski clubs and out of state/area Texas Ski Rangers’ family and friends wishing to travel with the Club. RELEASE OF LIABILITY: I understand it is incumbent upon me as a member when participating in any Texas Ski Rangers club event to do so in a manner which will not be a threat to the safety of myself or others. I have voluntarily applied for membership with the TEXAS SKI RANGERS. I am aware that skiing is a hazardous activity and hereby agree to accept any and all risks of injury or death. In the event of any injury or death to myself or any of my family at any Texas Ski Rangers sponsored event, including skiing, I hereby agree that neither I nor my heirs, guardians, legal representatives, or assigns will sue, make claim against, attach property of, or prosecute Texas Ski Rangers, its officers, directors, or agents for injury or damage resulting from the negligence or other acts, however caused, by an officer, director, employee, agent, or contractor of Texas Ski Rangers, as a result of my participation and do hereby release and forever discharge Texas Ski Rangers, its officers, directors and agents from any actions, claims of demands now, have, or may hereafter have for any injury or damage resulting from out participating in any Texas Ski Rangers sponsored activity. I also understand a $25.00 fee will be charged by Texas Ski Rangers and paid by me to the Texas Ski Rangers for any check unpaid by my bank, for any reason. Signature_________________________ Date______ Signature________________________ Date_______ 1st Applicant 2nd Applicant Texas Ski Rangers reserves the right to deny membership to any applicant. All fees are non refundable. Mail to: Texas Ski Rangers, PO Box 802524, Dallas, TX 75380 Affiliate Member of the Texas Ski Council & National Brotherhood of Skiers
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