2023-2024 SASC Membership Registration Form

2024/2025 Application for Membership
It is not necessary to print this form. Simply fill it out and click the "Submit" button at the bottom. The optional SASCPass is an add-on available to all paid up Members ($30 Annual Dues) who meet the age-60 requirement.
Name*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*

Confirmation Email
Phone Number:*

Area CodePhone Number
I am a new member*

YESNO
Birth Date (NEW MEMBERS ONLY):

MonthDayYear
Home Hill*

B (Ben Eoin)V (Brookvale)F (Mont Farlagne)**M (Martock)P (Poley)S (Sugarloaf NB)W (Wentworth)C Crabbe **K (Smokey)
** Crabbe and Farlagne do not currently participate in the SASCPass system
I am primarily a:*

SkierSnow boarder
Application and Membership Dues*

I hereby apply for 2024-2025 Club Membership. I certify that I am 55 years of age, or I am a spouse or partner of a SASC Member. I enclose my Annual Dues of $30.
Optional SASCPass

I wish to add on the 2024-2025 SASCPass ($427 until Oct 31, 2024, then $543) to my annual membership. I certify that I will be 60 years of age by March 31, 2025.
Amount Due:
I will send payment*

by e-transferby Regular Mail
Check here if you are interested in serving on the SASC Board of Directors.
Certification*

I hereby agree to abide by the Constitution and By-laws of Ski Atlantic Seniors’ Club and certify that I have read and agree to Section 10 relating to exclusion of liability.
Date*

YearMonthDay
Date
Should be Empty: