Ski Sprites Membership Application
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Membership Type *
(For families, do primary member as 'New Family' or 'Returning Family' and others as 'Additional Family Member')
Name *
Same address/medical insurance as primary family member
Choose primary member from this list. Can skip address and medical insurance sections below. (If primary member doesn't show in list, try reloading form/webpage).
Address
USA Waterski Member Number
(okay to provide later if you don't have it right now, but you must be active USA Waterski Member to participate)
Phone Number
Receive Text Messages?
Clear selection
Email Address
Interests (check all that apply)
Feel free to check all the areas you're interested in, even if only for practices
Date of Birth
MM
/
DD
/
YYYY
Medical Information
Medical Insurance Carrier, Plan ID Number, Group Number
Emergency Contact Name and Phone Number(s)
Hospital Preference
Physician Name, Clinic, and Phone Number
Any Current Medications, Known Allergies, Physical Limitations, or other helpful medical information? *
(If none, enter 'none')
Agreements
Signature page will be emailed for you to print out and sign
Dues *
I understand that dues ($100 per new skier/ $400 per returning skier) must be paid prior to participating in water.
Photo Release *
I grant the Ski Sprites the right to take photos/videos of me/my child and authorize the use of the photos/videos for purposes such as publicity, illustration, advertising, and web content.
Background Checks *
I understand that the Ski Sprites have the right to conduct a background check on me at any time.
Mind-Altering Substance / Illegal Behavior Policy *
I have read and agree to the Ski Sprites mind-altering / illegal behavior policy (https://goo.gl/vbJIqg). Required prior to participation.
Beach Closure Waiver *
I agree to allow myself/my child, to participate in the Ski Sprites water skiing activities on Lake Altoona.  I understand these activities may take place at a time when the Eau Claire Health Department may recommend closure of the beach due to bacteria levels in certain areas of the beach.  I understand that my/my child’s participation is optional and I release Eau Claire County and the Ski Sprites Water Ski Team Inc. from all liability of any affects that I/my child may incur while participating.
Emergency Transportation *
I authorize Ski Sprites Water Shows, Inc. to transport me/my son/my daughter to a physician's office and/or hospital emergency room in the event emergency medical care is needed.
Emergency Treatment *
 I authorize the physician and hospital staff to treat me/my son/my daughter as they deem necessary in the emergency situation.
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