Texas Twisters Ski and Adventure Club
Send completed form and check to:
4414 82nd Street		DATE:
Suite 212, #135
Lubbock, Texas  79424
http://www.TexasTwistersSkiClub.com
Bill To:		FOR:	September 2008 - August 2009
(fill below with your name/address/phone number/email)
Make all checks payable to Texas Twisters Ski Club
DESCRIPTION	Qty	RATE	AMOUNT
Single Membership		30.00	$                          -
Family Membership		45.00
		TOTAL	$                          -
MEMBERSHIP INFORMATION
Spouse's Name / email		Preferred Phone Number
Children/Age		Secondary Phone Number
Children/Age (con't)		Email address
On behalf of all above members, I promise that I/we know or will learn about the risks of participation in any club activity. By participating in an activity, I am/we are agreeing to assume all such risks, to defend and indemnify the club from any claim, which might arise out of my/our participation in any activity.
Applicant's Signature / Date
Spouse Signature / Date