2018/19 Summit Skimo Club Membership
Membership Sign Up Form: Athlete Info
Email address *
Last Name *
Your answer
First Name *
Your answer
Birth Date *
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/
DD
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YYYY
Gender *
Email Address *
Your answer
Cell Phone
Your answer
Ski Mountaineering Racing Experience
No experience is necessary, just a desire to have fun and learn!
Please list any allergies or medical concerns:
Your answer
Did you turn in a Liability Release / Media Waiver yet? *
With the $30 suggested donation you get either a shirt or a hat. Which would you prefer? Sizes and styles are first come first served.
For $45 you get both a shirt AND a hat. Which would you prefer? Sizes and styles are first come first served.
$30 Suggested Donation
CLICK BELOW TO DONATE via PAY PAL >>>
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=3KMEYN5282Y8S

If you don't have a Pay Pal account you can send a check to the club address listed on the membership web page.

After donating, please be sure to click SUBMIT below to complete your membership sign up.

Thanks! Summit Skimo Club

Donation Amount Made
Please enter the donation amount you made. (No worries if you can't donate now, just enter 0.) Thanks!
Parent / Guardian Info for Minors
Please fill out if athlete is under 18yrs old.
Parent / Guardian Last Name
Your answer
Parent / Guardian First Name
Your answer
Parent / Guardian Primary Phone
Your answer
Parent / Guardian Email Address
Your answer
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