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Member Information
1st Member Name:
Email Phone (Day) (Eve)
Circle All That Apply Athlete Official Volunteer Coach
2nd Member Name:
Email Phone (Day) (Eve)
Circle All That Apply Athlete Official Volunteer Coach
3rd Member Name:
Email Phone (Day) (Eve)
Circle All That Apply Athlete Official Volunteer Coach
Place additional members names on the back
Street Address
City State ZIP
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 members _____ 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 _____
Note: A different dues schedule applies to all foreign athletes. Please contact us for further information.
Please 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