2006 LAKE NORMAN SKI CLUB MEMBERSHIP
	Please print & complete this form, then mail with your payment to:
            Lake Norman Ski Club, PO box 5266,  Mooresville, NC  28117

         
	Name: _______________________________________ Birth Date: __/__/__ 

	Address: _________________________ City: ______________ ZIP: _____
	
	E-Mail: __________________________________________________________

	County: __________________________ Boat: _________________________

	Phone: (Home):____________________ (Work):________________________


	List skiing areas of interest and skill level:
	(Beginner, Recreational, Advanced, Collegiate, Competitive)
	Wakeboarding: _________________	Slalom: __________________________
	Learn-2-Ski: __________________	Kneeboarding: ____________________
	Barefooting: __________________	Show Skiing: _____________________
	AirChair: _____________________ Wakeskate: _______________________
	Other ____________________________________________________________

	What aspect of the ski club do you wish to become involved in or
 
	develop? _________________________________________________________

	How did you hear about our Club? _________________________________

	Are you CPR or Lifeguard trained/certified?  _____________________

	Are you currently a USA Waterski Member? _________________________

	  Member #:_______________________________________________________
	  
	Type of Ski Club Membership applying for:   
   		 
   		 New Membership: ______      Renewal: _________
 
   		 Individual/$50: ______      Family/$75: ______

	Member names: ____________________________________________________

	__________________________________________________________________

        Do you want to be excluded from the membership directory? ________


	*Please make dues payable to: 	Lake Norman Ski Club 
              		           	PO Box 5266 Mooresville, NC 28117

	I hereby agree to uphold any rules and/or regulations set forth by 
	the By-laws of the Lake Norman Ski Club. 


	Signature: ___________________________________ Date: ______________


	http://lakenormanskiclub.8m.com             skiclub@lakenorman.com