Lexski Lodge: Member Record 

                                                                                              

MEMBERSHIP RECORD   Requirements must be completed within 24 months of application.          

 

Name(s):­­­­­ ____________________________________________

 

                                                                                                                                                                

 

Lodge Visit #1     Date of visit:                                              

 

                Sponsoring Member: __________________________     Signature: _____________________________

                                                                 Print                        

                Host/ Hostess:  _______________________________     Signature: _____________________________

                                                                     Print

                                                                                                                                                        

Number of Members in Residence: _____   [Must be greater than 20 or additional visit must be made.]                          

 

Prospective Members visiting:  Husband    Wife    No. of Children_____

 

                                                                                                                                                                

 

Lodge Visit #2     Date of visit:                                              

 

                Sponsoring Member: __________________________     Signature: _____________________________

                                                             Print                            

     Host/ Hostess:  __________________________               Signature: _____________________________

                                                    Print

 

Number of Members in Residence:             [Must be greater than 20 or additional visit must be made.]                          

 

Prospective Members visiting:  Husband    Wife    No. of Children_____

                                                                                                                                                                

 

Ski Club Meeting

 

Date of Meeting:                                         

 

                Sponsoring Member: ______________________________      Signature: _____________________________                                                                                         

                                                                     Print

                Club Officer:  ____________________________________      Signature: _____________________________

                                                                                Print

                                                                                                                             

Number of Members in Residence:                            

 

Prospective Members at meeting:  Husband    Wife    No. of Children ____   [ Must be both spouses or additional

                                                                                                                                                     meeting must be attended]

 

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

                                                                                                                                                     66 Hillcroft Rd                                                   

                                                                                                                                                     Waltham, MA 02452

                                                                                                                                                     jpscholl4@gmail.com

                                                                                                                                                     781-891-1832