Membership Form | Omineca Ski Club

Instructions

Membership Type *

Family Membership

Individual Child Membership (under 9 years of age)

Individual Youth Membership (9-18 years of age)

Individual Adult Membership (19-59 years of age)

Individual Senior Membership (60+ years of age)

Adult Couple (19-59 years of age)

Senior Couple (60+ years of age)

Snowshoe (any age)

Last Name of Primary Adult *

First Name *

Sex *

Birth Year *

Email Address

Last Name of Secondary Adult

First Name

Sex

Birth Year

First Name Child 1

Sex

Birth Year

First Name Child 2

Sex

Birth Year

First Name Child 3

Sex

Birth Year

First Name Child 4

Sex

Birth Year

Mailing Address (Street or PO Box) *

Town *

Postal Code *

Phone Number *

Form of Contact *

You may contact me by email. I understand that I will receive all general information posts.

I prefer to be contacted by conventional mail.

I wish to receive the grooming report via email.

The Omineca Ski Club is run by volunteers and it is important as a member that you assist with various club activities. Please indicate what activities you will be interested in helping with:

I have read the Informed Consent and Assumption of Risk Agreement and submitting this form indicates agreement with it. *

Yes