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Application for Membership
Traverski Ski, Sport & Social Club



Name:                     

Address:
     

City:                       State:                    Zip:  

Phone:
                  Birthdate:      

email:           

How did you hear about Traverski (optional)
     

Activities you would like to do (optional)
     

Choose newsletter delivery method:                  email 
         USPS  ($10 surcharge)  

May we PUBLISH your name, address, phone & email in the annual Traverski Membership Directory and occasionally the newsletter?

Name: yes
  no            Address: yes   no               Phone: yes   no      Email: yes   no 

By submitting this form and applying for membership to Traverski Club, Inc., I attest to the following:

 (check each box to affirm your agreement)
I have read, understand and agree with the
Waiver and Releases from Liability and Indemnity Agreement,
I have read, understand and agree with the Traverski Trip Policies and
I am of legal age to consume alcoholic beverages in the State of Minnesota.

Signature: (enter name exactly as it appears above)
 
    Date: