DON PEDRO WATER SKI CLUB MEMBERSHIP APPLICATION

DON PEDRO WATER SKI CLUB
When this application has been completed and is ready to be submitted, it must be accompanied by your Don Pedro Water Ski Club MEMBERSHIP ANNUAL DUES in the amount of $125, and a copy of your BOAT INSURANCE Declarations Page naming "Don Pedro Water Ski Club, 5690 Merit Way, Fremont, CA 94538" as additional insured. Please make your check for dues out to Don Pedro Water Ski Club and mail all documents and check to the address listed at the bottom of page 2.
Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CELL NUMBER*
OCCUPATION*
BIRTHDATE *

MonthDayYear
Date
SPOUSE'S NAME
SPOUSE'S CELL
SPOUSE'S OCCUPATION
SPOUSE'S BIRTHDATE

MonthDayYear
Date
Emails and mobile numbers you would like to receive club notifications through.
PREFERRED EMAIL*
example@example.com
PREFERRED TEXT NUMBER*
Do you have children/dependents?

YesNo
Children/Dependent Information*
Children
List specific areas of club activities and work where you would like participate or where you have experience:*
Do you tournament ski?*
Are you currently, or have you ever been a member of another water ski club?*

YesNo
Tell us about any experience you have had as a member of a Water Ski Club:*
Do you own a boat?*

YesNo
Manufacturer
Year
Model
Colors
CF#
Water skiing experience and areas of interest*
Other hobbies and special interests*
I have read and understand the by-laws of the DPWSC.
Initial*

Clear
Spouse Initials

Clear
Signature*

Clear
Date*

MonthDayYear
Date
Spouse's Signature

Clear
Date

MonthDayYear
Date
If you have questions please email Stephie at: membership@dpwsc.org or call: 650-207-8700

Mail check to:

Stephie Lashkoff Vice President - DPWSC 2222 Park Pl 1D Minden, NV 89423
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Membership Dues1 Per Application/Family
$125.00 Quantity
Item subtotal:$0.00

Total

$0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

DON PEDRO WATER SKI CLUB

Emails and mobile numbers you would like to receive club notifications through.