Memphremagog Ski Touring Foundation

Membership 2006-2007

Name: ____________________________

(fill out only fields that are new or changed)

Address: ___________________________

          ______________________________

Phone: ______________________________

E mail: _____________________________

Dues:    $35 for entire family  ($5.00 day pass per person)

Donation: ______________

Total:  _________________

Contact me later this year to ask for donation:  ________

Please sign Waiver:

I am fully aware of the risks entailed in ski touring, snowshoeing, and other outdoor activities.  I am aware that this includes risk of injury, cold injury, exacerbation of chronic disease, heart attack, death or other unforeseen and unexpected adverse outcomes.  Variable trail conditions can be dangerous.  My participation and that of my family members is entirely voluntary, and I undertake this participation fully aware of the risks to my family and myself.  In the event of adverse event, I will not hold liable the Memphremagog Ski Touring Foundation, its board members, employees, or landowners.

Signed ____________________________________________  date:  ____________________ 

Other Family Members: ________________________________

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