Kachemak Nordic Ski Club
P.O. Box 44
Homer, AK 99603-0044
235-6018 ** 235-4283

NAME______________________________________________________

OTHER FAMILY NAMES _____________________________________

ADDRESS _________________________________________________

EMAIL ________________ TELEPHONE ____________________

DATE _________________

Please contact me to help:

  Ski and Equipment swap - Nov     School Races
  Besh Cup Race/ USSA - Jan   Lessons
  Wine and Cheese Tour - Feb   Newsletter
  Kachemak Marathon - March   Biathlon
  Sea to Ski Triathlon - April   Machine maintenance
  High School Senior Projects   Grant Writing
  Trail Grooming McNeil   Trail Groom Bay Crest
  Trail work McNeil   Trail work Bay Crest
  Plowing   Junior Nordic Program

PLEASE CHECK ONE (Make checks payable to Kachemak Nordic Ski Club):

Patron $100 + ____ Family $50.00 _____ Individual $25.00 ______ Student $10.00 ______
Business sponsor (donation of money, goods or services) Please indicate value and describe: ________________________________________________________________________

We, the undersigned, do not hold Kachemak Nordic Ski Club or any of its members liable for any injuries or for any damages done to equipment etc. which may occur as a result of being a member of this club.

Signature ___________________________________________

Parent signature if under 18 __________________________