NCWSA Jr. Development Clinic Application

Beginners/Learn to Ski the Course    Lake Magnolia    May 17, 2008

Tournament Skiers                              Panther Lake      May 18, 2008

Skier Name: ____________________________________

Address: ________________________________________

City: _____________________State:______ Zip:______

Parent Name:_________________________________

Home Phone: _____________   Mobile Phone:____________  

Email:  __________________________

 Birthday:  m____/d____/y_____  Gender: _____  Age: ______

Responsible party who will remain with the skier:_____________________

Skier Level: [  ] Learning to Ski  [  ] Learning to Slalom   

[  ]Learning to ski the course  [  ]Tournament Slalom   [  ]Trick   

 All participants must be members of NCWSA ($20 individual/ $25 family) and members of USA WaterSki ($35 Junior or $65 Family Head of Household then $30 for each additional family member) to participate.

• The application form for NCWSA can be found at www.ncwaterskiers.com or you can join at registration.
• The application form for USA WaterSki can be found at www.usawaterski.org or you can join at registration.
• Skiing will be from 9:00am to 3:00pm. 
• Lunch will be provided.

Please email form ASAP  to:   Beverly Loewengruber     bevloew@bellsouth.net

Beverly Loewengruber

6212 Heatherstone Drive

Raleigh, NC 27606  

919-854-1170