Membership Application

New Member Renewal
 
Name (Mr., Mrs., Ms.) 
Street 
City   State   ZIP 
E-Mail 
Home Phone   Alternate Phone 
Date   Check #   Date of Birth 
Referred By  
How did you hear of our club? 
 
Interested in: 
 Lessons  Ski  Snowboard  Trips
 Racing  Golf  Tennis  Social Events
New Member $35 per person (includes $10 Initiation Fee); Members must be 18 years of age or older.
Renewal Dues $25.00 per person yearly payable by Sep 30 each year.
 
Checks payable to:  FDSC Membership, Box 14233, Reading, PA   19612-4233
 

RELEASE AND INDEMNIFICATION AGREEMENT - PLEASE READ CAREFULLY

I understand that the Flying Dutchmen Ski Club, Inc. (The "club") is a year-round skiing, sports and social club which sponsors a variety of activities, including skiing for the benefit of its members.  I am aware that many of the Club's activities, including skiing are inherently dangerous activities which involve the risk of serious injury or even death.  I agree that participating in any Club related activity, 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 participation or injury at any Club related activity.  Nor will I voluntarily assist anyone in the pursuit of any such lawsuit of 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 cost, 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 the document, such membership and opportunity to participate in Club related activities would not be extended to me.
 
 
Signed: _____________________________________     Members must be 18 years of age or older.

THIS RELEASE MUST BE PRINTED AND SIGNED