Request Form for New Membership 2022

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Key Contact Name *

Contact Number(s) *

Email *

Street Address *

City *

Country

Post code *

Date of Birth *

YYYY

Previous Association with Broken River Ski Club

For example: Have you skied or boarded at BR? Do you know anyone in the club? How did you contact us?

Other Family Members

Name, DOB, email, phone number, occupation

To ensure effective communication within the Club, your name, contact phone number and email address will be available for newsletters and distribution amongst Club members. All members receive email newsletter as they the key means of Club communications, in pdf file format, as well as email bulletins. Select the option below to opt out for any other family members to not receive the email newsletters. *

We no longer have a printed newsletter option.

I want all family members, with email addresses supplied above, to receive the BR newsletter as email.

I do NOT want all other family members to receive the BR newsletter as email.

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