Membership Application

Wasatch Luge Club – Membership Application – 2014 – 2015 Season

1st Member Name:            Email Address:  

Cell Phone:   Mark All That Apply: Athlete: Official: Volunteer: Coach:

2nd Member Name:            Email Address:  

Cell Phone:   Mark All That Apply: Athlete: Official: Volunteer: Coach:

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.

1st member: X $25  2nd 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:

Wasatch Luge Club
Member Services
PO Box 980216
Park City, UT 84098
If you have any questions call (435) 647-3800