Membership information
ONE TIME INITIATION FEE OF $25.00
Family memberships $200.00
Single membership $145.00
All members of the Carter Lake Ski Club are required to be
a member of USA waterski, If you are not currently a member of USA Waterski
those fees will be charged separately. If you are a current member proof
of membership is required before you are allowed to ski. All membership
request must be submitted to the Carter Lake ski Club Treasurer ( Janice
Prociw). All new applications shall be reviewed by the Membership committee
and each membership applicant shall be provided a list of rules and bylaws, and
informed what is expected of them as a member. Each new member shall be
placed on a year probation at the beginning of the following year the person(s)
will be reviewed and either allowed or denied membership for the following year.
CARTER LAKE WATER SKI CLUB APPLICATION FOR MEMBERSHIP
NAME _____________________________________________________
DATE OF BIRTH________________________
ADDRESS_____________________________________________CITY________________
STATE___ZIP____________
EMPLOYER_____________________________________________
SOCIAL
SECURITY NO.______________________
HOME PHONE_______________________WORK PHONE___________________
CELL
PHONE__________________
EMAIL ADDRESS_________________________________PAGER________________
FAX_____________________________
IF APPLYING FOR A FAMILY
MEMBERSHIP, LIST THE NAMES, SOCIAL SECURITY NUMBERS AND DATES OF
BIRTH FOR YOUR CO-APPLICANT
OR SPOUSE AND FOR EACH OF YOUR CHILDREN.
NAME
RELATIONSHIP
SOCIAL SECURITY NO.
D. O. B
SKIING BACKGROUND (I.E.
RECREATIONAL), COMPETITIVE (SLALOM, TRICK, JUMP) BAREFOOT, KNEEBOARD,
SHOW, WAKEBOARD,COLLEGIATE__________________________________________________________________
WHAT TYPE OF BOAT AND MOTOR
DO YOU OWN, IF ANY ______________________________________________
SPONSORING CLUB MEMBER
______________________________________________________________________
TYPE OF MEMBERSHIP APPLYING
FOR:
_____________FAMILY- $200
PER YEAR INCLUDING FAMILY AWSA MEMBERSHIP,INSURANCE EXTRA
_____________SINGLE- $145
PER YEAR INCLUDING SINGLE AWSA MEMBERSHIP,INSURANCE EXTRA
(NOTE YOUR AWSA MEMBERSHIP
WILL BE PAID BY THE CLUB AFTER YOU PAY THE APPLICABLE MEMBERSHIP FEE SET FORTH
ABOVE. $25.00 MUST BE ADDED FOR EACH PERSON WHO COMPETES, DRIVES OR JUDGES
IN AN AWSA TOURNAMENT. ALL
FEES ARE DUE NOVEMBER 1ST FOR THE UPCOMING CALENDAR YEAR AND
PRINT THIS FORM AND MAIL TO:
Janice Prociw 1806 Sand Point Dr. Carter Lake IA. 51510-1152
More Information: Email:jprociw@cox.net
MAKE CHECK PAYABLE TO CARTER
LAKE WATER SKI CLUB OR CLWSC