USA Water Ski provides General Liability insurance coverage to USA Water Ski-affiliated clubs
in connection with sanctioned events. Please refer
to the USA Water Ski Insurance Fact Summary for details of this coverage.
If your club is already a
current member, and you only wish to request a Certificate of Insurance, click here.
Fields marked with asterisks (*) are mandatory. |
| Membership Information |
| Membership Period: |
2/7/2012 to 12/31/2012 |
| Membership Cost: |
$100.00 |
|
Club Information |
| Club Name:* |
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Club Type:
(select all that apply) |
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| Club Website: |
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| Is this club open to new members? |
Yes |
No |
| Specific site/body of water of all club activities:* |
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| Street Address: |
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| City:* |
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| State:* |
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| Zip/Postal Code: |
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| Choose a Password:* |
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| Security Question:* |
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| Answer:* |
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| Primary Contact Information |
Primary Contact's Name:*
Note: All mail and e-mail correspondence from USA Water Ski will be sent to the club's primary contact. Specified club contact information will be posted on USA Water Ski's website. |
Mail |
E-Mail
|
| Membership Number: |
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| Mailing Address:* |
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| Address 2: |
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| City:* |
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| State/Province:* |
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| Zip/Postal Code:* |
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| Home Phone:* |
example: (000) 000-0000 |
| Work Phone: |
ext.
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| Fax Number: |
example: (000) 000-0000 |
| Mobile Phone: |
example: (000) 000-0000 |
| Email Address:* |
|
We send notices of upcoming events to affiliated clubs via e-mail.
Check here (
) if you
don't wish to
receive these mailings.
Note: If you do not check the box above, please be sure to 'Whitelist' usawaterski@usawaterski.org and memberservices@usawaterski.org so you can always receive our emails. |
Periodically, we make our club affiliation list available to USA Water Ski affiliates.
Check here (
) if
you don't want your
information forwarded. |
| *I agree that the Primary Contact for this affiliation is a current active member of USA Water Ski. |
| Secondary Contact
Information |
| Name: |
|
| Membership Number: |
|
| Home Phone: |
example: (000) 000-0000 |
| Work Phone: |
example: (000) 000-0000 |
| Fax Number: |
example: (000) 000-0000 |
| Mobile Phone: |
example: (000) 000-0000 |
| Email Address: |
|
| *I agree that the Secondary Contact for this affiliation is a current active member of USA Water Ski. |
| Club Officer's Information |
| President's Name: |
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| Vice President's Name: |
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| Secretary's Name: |
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| Treasurer's Name: |
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| *I agree that all Officers for this affiliation are current active members of USA Water Ski. |
| Legal Agreement |
"We hereby apply for club membership in USA Water Ski, and acknowledge and agree:
- to abide by the rules and regulations established by USA Water Ski for club membership and sanctioned events;
- that USA Water Ski shall not be responsible for any indebtedness or the acts or omissions of our club, its officers and members;
- that coverage for our club will only apply with respect to tournaments, practices, exhibitions, clinics and related activities sanctioned and approved by USA Water Ski
- that all boats used in connection with USA Water Ski-sanctioned events must be insured in accordance with the most current Boat Insurance Requirements established by USA Water Ski;
- that all club members who participate in any USA Water Ski-sanctioned events must be current Active members of USA Water Ski, and that each Active member of USA Water Ski will be required to sign a Participant Waiver and Release of Liability as part of membership."
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| |
| Click to acknowledge the agreement above and our refund policy |
I agree |
| Today's Date:* |
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| You will have a chance to add Certificate of Insurance information on the next page. |