Buckhorn Ski Club, Inc

MEMBERSHIP APPLICATION

BUCKHORN SKI CLUB, INC.

P.O. BOX 27572

Santa Ana CA 92799

DATE: October 11, 2018

Name: Phone:

Address: Street:

City: State & Zip:

E-mail Address:

Employer: Business Phone:

Occupation:

Spouse’s Name: Occupation:

Names and Ages of Children:

TYPE OF MEMBERSHIP DESIRED:

Single$125/year

Family$175/year

Note:In addition, there is a one-time initiation fee of $100 for new members. All fees must accompany this application and will be returned if membership is notgranted.

MEMBERSHIP RESPONSIBILITIES

1.Participate in work parties5.Serve on the board as a club officer

2.Attend club meetings and social functions6.Host/co-host weekends at the lodge

3.Support fund-raising activities7.Recruit new members

4.Help on a committee8.Have fun!

Please check membership activities that interest you:

Social activities Summer lodge useSki racing Snowboarding

Cross-countryFamily Skiing at BuckhornRafting:Skiing trips

Please list your special skills and hobbies:

Are you interested in becoming a member of the Buckhorn Ski Patrol? Yes No

Do you hold a current First Aid Card? CPR Card?

For Official Club Use

Furnished to New Members:Received from New Member:

Assumption of Risk Form: 1. Assumption of Risk Form:
Buckhorn Area Map: 2. Fees:

MEMBER’S RELEASE AND ASSUMPTION OF RISK

BUCKHORN SKI CLUB, INC. (HEREINAFTER CALLED “CLUB”) IS A NON-PROFIT CORPORATION WHICH ENGAGES IN SKIING AND OTHER ACTIVITIES AND, PURSUANT TO A SPECIAL USE PERMIT ISSUED BY THE UNITED STATES, OPERATES A SKI FACILITY (INCLUDING LODGE AND TOWS) FOR THE USE OF ITS MEMBERS AND THEIR FAMILIES AND GUESTS. SUCH OPERATIONS AND ACTIVITIES ARE NORMALLY PERFORMED BY VOLUNTEERS ACTING WITHOUT COMPENSATION AND THE COSTS THEREOF ARE SHARED AMONG MEMBERS AND PARTICIPANTS. IT IS THE PURPOSE OF THIS AGREEMENT THAT EACH PERSON USING THE CLUB FACILITY OR PARTICIPATING IN CLUB ACTIVITIES (RATHER THAN THE CLUB, ITS MEMBERS AND AGENTS AND THE UNITED STATES) ASSUME THE RISK OF PERSONAL INJURY (INCLUDING WRONGFUL DEATH) OR PROPERTY DAMAGE RELATED THERETO REGARDLESS OF RESPONSIBILITY FOR NEGLIGENCE.

THE UNDERSIGNED* FOR THEMSELVES AND ALL CHILDREN RELEASE AND AGREE TO HOLD HARMLESS THE CLUB, ITS MEMBERS AND AGENTS AND THE UNITED STATES FROM ANY CLAIM AND LIABILITY FOR AND ASSUME THE RISK OF PERSONAL INJURY (INCLUDING WRONGFUL DEATH) AND PROPERTY DAMAGE TO US AND TO MEMBERS OF OUR FAMILY ARISING FROM CLUB ACITIVITIES, OPERATION OF THE CLUB’S SKI FACILITY, OR OUR USE OF THE CLUB’S SKI FACILITY, REGARDLESS OF RESPONSIBILITY FOR NEGLIGENCE.

THE UNDERSIGNED ALSO AGREE TO FURNISH A “GUEST RELEASE AND ASSUMPTION OF RISK” FROM EACH OF OUR ADULT GUESTS AND THE PARENTS OR GUARDIAN OF OUR MINOR GUESTS AND TO HOLD THE CLUB, ITS MEMBERS, AND AGENTS HARMLESS FROM ANY CLAIM AND LIABILITY RESULTING FROM OUR FAILURE TO DO SO. THIS AGREEMENT SHALL BE EFFECTIVE UNTIL 30 DAYS AFTER WRITTEN CANCELLATION IS RECEIVED BY THE CLUB.

Date

*Signature required of each adult member and a parent

(or guardian) for each minor

member.

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