Membership Application

Wasatch Luge Club – Membership Application – 2012 – 2013 Season

1st Member Name:            Email Address:  

Cell Phone            Mark All That Apply:   Athlete     Official    Volunteer     Coach  

2nd Member Name:            Email Address:  

3rd Member Name:            Email Address:  

Cell Phone            Mark All That Apply:   Athlete     Official    Volunteer     Coach  

4th Member Name:            Email Address:  

Cell Phone            Mark All That Apply:   Athlete     Official    Volunteer     Coach  

Place additional members names here: 

            Street Address: 

            City:    State:  ZIP:       Home Phone: 

Annual Dues:  The Sport Year is July 1 to June 31.  All members must be in the same family to receive the family discount.

1^st member: X $25  2^nd member: X $15  Additional: X $10 each = Total Dues $

Please list any additional Luge Clubs you are a member of: 

Will you accept email as official notification of club activities?   Yes*   No 

  *By opting in, you will receive all official communications electronically, and will not receive physical copies of the materials.

Note: A different dues schedule applies to all foreign athletes. Please contact us for further information.

Please Complete this form, Print it, Enclose Your check and Return To: