Application
for New Membership - $35 per person (includes $5 Initiation Fee)
Members must be at least 18 years of age.
Checks
only payable to FDSC.Mail to FDSC Membership, PO Box 14233, Reading, PA 19612-4233.Two persons sharing an address may submit one form/check.
Name
Date of Birth (mm/dd/yyyy) //
Street
Home Phone
City
State
ZIP+4 -
Alternate Phone
E-Mail
Referred By
Name
Date of Birth (mm/dd/yyyy) //
E-Mail
Alternate Phone
RELEASE
AND INDEMNIFICATION AGREEMENT - PLEASE
READ CAREFULLY AND SIGN BELOW
I
understand that the Flying Dutchmen Ski Club, Inc. (the “Club”) is a
year-round skiing, snowboarding, sports, and social club which sponsors a
variety of activities, including skiing and snowboarding, for the benefit of its
members.I am aware that many of
the Club’s activities, including skiing and snowboarding, are inherently
dangerous activities that involve the risk of serious injury and even death.I agree that I alone am responsible for my safety and agree that I alone
assume the risks involved in any such activity. In
addition, and to the fullest extent allowed by law, I agree that I will not
institute any lawsuit or other legal action against the Club, its members,
officers, directors, delegates, instructors, agents, employees, representatives,
servants, or assigns as a result of my participation or injury at any
Club-related activity.Nor will I
voluntarily assist anyone else in the pursuit of any such lawsuit or other legal
action.
I also agree
to indemnify and hold harmless the Club, its members, officers, directors,
delegates, instructors, agents, employees, representatives, servants, or assigns
from and against any and all claims, actions, suits, judgments, damages, and
costs, including reasonable attorney’s fees, that may result by reason of any
suit or other legal action that I either commence or assist with as described in
the preceding paragraph.This Release and Indemnification Agreement shall bind me, my
distributees, heirs, executors, representatives, successors, and assigns.
I understand
and acknowledge that the Club is acting in reliance upon the agreements made by
me in this Release and Indemnification Agreement in order to extend to me the
benefits of membership in the Club, and were I not willing to abide by the terms
of this document, such membership and opportunity to participate in Club-related
activities would not be extended to me.
Signature required for each applicant!
Please allow three weeks for processing of new memberships; membership cards will be mailed.
Meetings are held the 1st and 3rd Thurs. (Sept. to March) and 1st Thurs. (April to Aug.)
at the Reading Liederkranz, Hill Rd. and Spook Lane, Reading, PA. Membership meetings start at 7:30 pm.
Questions? Contact FDSC Membership Director at membership@fdsc.org or visit our website at www.fdsc.org
