Mildura District Ski Club Incorporated

(Registration Number A0004625F)

PO Box 688 Mildura, Vic., 3502

Application for Membership 2016/2017

I/we being the person/s specified below respectively apply for membership of the

Mildura District Ski Club Inc.

Surname / Given Names / Date of Birth / Mobile Phone No
Adult 1
Adult 2
Child 1
Child 2
Child 3
Child 4
Address: / Town/Suburb: / Postcode:
Home Phone: / Email Address: / / Please tick this for all Communications to be sent via email. Newsletters, renewals and updates.
Boat Name: / Hull Type: / Registration No:
Second Boat Name: / Hull Type: / Registration No:
Interests (tick all applicable options):
/ Social Skiing / / Tournament Skiing / / Junior Development
/ Ski Racing / Wakeboarding / Other: ______

In the event of my/our admission I/we agree to be bound by the Club’s Constitution and Rules.

______/___/______/___/___

Signature – Adult 1 Date Signature – Adult 2 Date

Proposer:______Seconder:______

Single (1 Person) $260

Double (2 People) $280

Family (2 adults and children under the age of 18 or up until age 21 if a dependant i.e. living at home University student or apprentice) $300

Life Member Honorary Member Committee Member

(Maximum 2 vessels at any one time and 10 Visitors. Please note visitors must be signed in for social functions in club rooms. Cowra site users must be ski club members for insurance purposes)

The above fees include a $50.00 joining fee.

(1)  Honorary and Life members no charge.
(2)  As an incentive to attract Club members to “working bees” a discount on memberships can be received of up to $50.00 by attending a working bee, fund raiser or event as a volunteer as sanctioned by the club committee. Attendance at a single event will receive a $25 discount. Therefore by attending two events a maximum $50 discount will apply.
(3)  Discount to be taken off 2017/18 fees no refund on first year of membership.
(4)  General Committee to receive 50% discount.

Club Safety Rules:

1.  All boat drivers must abide by the rules of the river, and the Club.

2.  All ski boats to take off and land in an anti-clockwise direction.

3.  After landing a skier, the driver must proceed to a safe spot and haul in ski ropes, before returning to shore.

4.  Boats towing ski biscuits must retrieve biscuits, rope and occupants before returning to shore.

5.  A boat landing takes preference over a boat leaving shore.

6.  Skiers in the water must acknowledge to other drivers and skiers of their position.

7.  Boats and skiing permitted only on the downstream side of the boat ramp. Swimming only permitted on the upstream side of the ramp

8.  The boat owner who is last to remove his boat from the river is responsible for locking the ramp chain, toilets, club storeroom, clubhouse and making sure all equipment has been put away.

9.  Cars with boat trailers must park at a 45 degree angle to the road fence. Cars without boat trailers to park at a 90 degree angle to the river fence.

10.  Ramp and turning area at top of ramp must be kept clear at all times.

No parking at the top of the ramp without exception.

11.  Visitors or Club members not obeying club rules, or not acting in a safe and responsible manner may be directed to leave the club site by a Committee member/Security.

12.  Members Dogs must be on a leash and tethered at all times and situated in a position that will not intimidate other members.

13.  No Smoking This club is a Non-Smoking Good sports Venue

Once completed Applications is received with payment it will go to the next general committee meeting. On acceptance you will receive a letter of acceptance and instruction for collection of key and club stickers. For any further queries please contact Kim Baldwin Secretary on 0409566280 or Thank You.

Payment options

This application must be accompanied with payment.

·  Cheque

·  Direct Debit to the Club’s account: Mildura District Ski Club BSB 033-242 (Westpac Mildura) Account No 624749 using the Surname and membership as the Reference. Completed forms can be mailed to the Secretary, Mildura District Ski Club, PO Box 688, Mildura, Vic, 3502 or email to

·  New payment option Credit card.( fees will apply)

Payment Details

·  Family Name( reference):______

·  Cardholder Name:______

·  Card Number:______

Surcharge rates apply:
1.5%

·  Expiry Date:_____/______

e.g. 02 / 17

·  Card Verification Number:______

·  Payment Amount (AUD):______

·  Email Address:______

·  Enter your email address if you would like to receive a tax invoice for this payment.

·  Signature:______

Completed forms can be mailed to the Secretary, Mildura District Ski Club, PO Box 688, Mildura, Vic, 3502 or email to