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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. |
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Club Information |
| Club Name:* |
Club Name (if not listed):
|
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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| 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: |
|
| 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.
|
| 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: |
|
| 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: |
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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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| 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."
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| You will have a chance to add Certificate of Insurance
information on the next page. |
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