Use this form for a 2008 Membership only,
for any other year please call us at 800-533-2972.
USA Water Ski provides General Liability insurance coverage to USA Water Ski-affiliated clubs
in connection with sanctioned events. Coverage is effective upon receipt and approval of the club
application and appropriate fees by USA Water Ski and expires at midnight on December 31, 2008. 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.
  Club Information
Club Name:*
Club Name (if not listed):
Club Type:
(select all that apply)
3-Event - AWS Collegiate - NCW Kneeboard - AKA
Ski Race - NWR Barefoot - ABC Disabled - WSD
Show Ski - NSS Wakeboard - USW Hydrofoil - USH
Club Website:
Is this club open to new members? Yes | No
Specific site/body of water of all
club activities:*
Street Address:
City:*
State:*
Zip/Postal Code:
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.
   
First Name Last Name

Mail | E-Mail
Membership Number:
Mailing Address:*
Address 2:
City:*
State/Province:*
Zip/Postal Code:*
Home Phone:* example: (000) 000-0000
Work Phone:    ext.
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.
Periodically, we make our club affiliation list available to USA Water Ski affiliates.
Check here ( ) if you don't want your information forwarded.
Secondary Contact Information
Name:
   
First Name Last 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:
Club Officer's Information
President's Name:
       
First Name Last Name Membership #
Vice President's Name:
       
First Name Last Name Membership #
Secretary's Name:
       
First Name Last Name Membership #
Treasurer's Name:
       
First Name Last Name Membership #
Legal Agreement

"We hereby apply for club membership in USA Water Ski, and agree to abide by the rules and regulations established
by USA Water Ski for club membership and sanctioned events. We understand that USA Water Ski shall not be
responsible for any indebtedness or the acts or omissions of our clubs, their officers and members. We
understand that all boats used in connection with USA Water Ski-sanctioned events must be insured in accordance
with the 2008 Boat Insurance Requirements established by USA Water Ski. We further agree 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."

Click to acknowledge the agreement above
and our refund policy
 I agree
Today's Date:*
You will have a chance to add Certificate of Insurance information on the next page.