(Please list all family members, including parents and non-racers)
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COCHRAN'S SKI CLUB APPLICATION
2005-2006 (Please list all family members, including parents and non-racers) |
Racer
Name
(Yes/No) Date of Birth
___________________________________ ________ __________
___________________________________ ________ __________
___________________________________ ________ __________
___________________________________ ________ __________
___________________________________ ________ __________
___________________________________ ________ _____________________________________________ ________ __________
All members receive our newsletter. To receive the newsletter without joining the club, fill in
your name, address and e-mail address and return this form with NEWSLETTER ONLY circled.
Address: Street or PO Box: _________________________________________________
Town, State & Zip Code:____________________________________________
Phone Number:_________________Email Address:_________________________________
Before 12/01/05: Dues $50.00 per family Make checks payable to: Cochran’s Ski Club
After 12/01/05: Dues $60.00 per family
New members $50.00 per family anytime during the ski year.
For more information: Call (802) 434-2479 or visit www.cochranskiarea.com
Mail checks and form to: Debbie Kelly, 2236 Plains Road, Georgia, VT, 05468
Please note the following: All racers must also complete and return Cochran Ski Club Waiver and
Release Form with their club registration
All racers must also have a USSA and VARA membership
(Note: Online application forms are available at VARA and USSA)
All club families must also have a Cochran’s Ski Area family pass
(Racers who are 14 years or older may get an individual pass)