Welcome to Online Membership Registration
for the Nipmuc Water Ski Club

USAWaterSki Membership Number*:

First Name: Last Name: (Club dues are $85.00 for first member)

Skiing experience:

Street Address:
Town: State:
Age: (If you are under 16, you will need your parents to sign a minor release form - found here - Pdf format)
Phone Number:
Email Address:

Additional Family Members: $50 for each additional member (cap $200)
*additional members must live in the same house hold
First Name: Age: Skiing experience:
First Name: Age: Skiing experience:
First Name: Age: Skiing experience:
First Name: Age: Skiing experience:
First Name: Age: Skiing experience:
First Name: Age: Skiing experience:

Children under 16 MUST have their parents sign a release form - found here - Pdf format)

Please check off all the areas of skiing that you have done or are interested in doing: (check to right of the item).
Two Skiing Slalom Jumping Barefoot Air Chair
Trick Skiing Show Skiing Knee-board Wake-board
Other: (please list below):

Other Comments? Questions?? Please use the space below:

Nipmuc Ski Club waiver: Please read carefully!!!!
By Clicking the Submit button you agree to the following:

1. Agree that prior to participating, you will inspect the facilities and equipment to be used, and if you believe anything is unsafe, you will immediately advise a boat driver, and/or board of director of such condition(s) and refuse to participate.

2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence but the actions, inactions or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.

3. Assume all the foregoing risk and accept personal responsibility for the damages following such injury, permanent disability or death.

4 . Release, waive, discharge and covenant not to sue the Nipmuc Water Ski Club, its affiliated clubs, their respective administrators, directors, agents, coaches, and all other employees of the organization, participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as "releases", from any and all liability to each of the undersigned (by clicking submit - you "sign" this form), his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the release or otherwise.

BY CLICKING "SUBMIT" I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SUBMITTING THIS FORM IT AND SIGN IT VOLUNTARILY.

Download this waiver for your records: Nipmuc Ski Club waiver Form

or

*(You MUST be a member of USAWaterSki to join the Nipmuc Ski Club!
* Also note that payment of Nipmuc Ski Club yearly membership dues, as well as approval by the board of directors is required before officially becoming a member of the Nipmuc Water Ski Club.

 

 


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Last update 05/08/2007