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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

 

 


 

NCWSA MEMBERSHIP FORM

2008 NCWSA Membership Form

NAME(s)_______________________________________

_______________________________________________

_______________________________________________

_______________________________________________

STREET ADDRESS______________________________

_______________________________________________

CITY, STATE, ZIP_______________________________

_______________________________________________

EMAIL_________________________________________

_______________________________________________

PHONE #_______________________________________

_______________________________________________

SINGLE membership $20

FAMILY membership $25

NEW MEMBER  additional $5

_______cash

________check #

Please return form and dues to:

Elizabeth Talley

15 E. Bayberry Ct.

Durham, NC 27713

 

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