Lexski Club: Membership Application 

 

MEMBERSHIP APPLICATION

Requirements must be completed within 24 months of application.

 

                                                                                                        Date:______________

 

1.  MEMBERSHIP:       Family          Derivative

 

2.  ADULT NAMES:__________________________________________________________        

 

3.  Tel #_______________      Email:______________________________________________

                 

4.  ADDRESS:________________________________________________________________

                                                                                                                                                  

5.  OCCUPATIONS:___________________________________________________________

                                                                                             

 

6.  CHILDREN:      Names                       Gender                          Birthdates

 

               ­­­­­­­­______________________          ____               ___________________________

              

               ______________________          ____               ___________________________

 

               ______________________          ____               ___________________________

 

               ______________________          ____               ___________________________          

 

 

7.  SPONSORS: (2 Lexington Ski Club Members in good standing)

 

               1. ____________________________________________

 

               2. ____________________________________________

 

8.  SPECIAL SKILLS: (Relative to Lodge maintenance or Club administration)

 

Note: requirements have been fulfilled send completed form to:                                   Joe SCHOLL

                                                                                                                                                     66 Hillcroft Rd

                                                                                                                                                     Waltham, MA 02452

                                                                                                                                                     jpscholl4@gmail.com

                                                                                                                                                     781-891-1832

 

                                       Applicant - Please do not write below the line                               

Date Received:

Date Presented to Club:

Date Processed:

Functions Attended: