Der Sitzmark Ski Club Membership Renewal – Ski Season 2025-2026
Name(s): ____________________________________________________________
Address: _____________________________________________________________
City: ______________________ State: ________ Zip Code: _________
Phone Number(s) (_____) __________
Cell Phone Number (_____) ________________
E-Mail Address: ____________________________________
Type of Membership (Please circle membership amount and enclose amount shown)
Individual: $15.00 Family: $25.00
Please make your checks payable to: Der Sitzmark Ski Club and return to Der Sitzmark Ski Club c/o Pat Adams, 220 Iola Avenue, Glenshaw, PA 15116
Remember: MEMBERSHIP RENEWAL DEADLINE IS SEPTEMBER 30th. Acknowledgement of Responsibility and Release of Liability
The Der Sitzmark Ski Club is a year-round social/sports/ski club providing a variety of activities for its members. Many of the club activities are to varying degrees hazardous. By making application for initial or renewal membership, I/We voluntarily assume all the risks involved. By assuming all risks involved, I /We agree to not hold Der Sitzmark Ski Club, its officers or Board Members, trip organizers or activity coordinators liable for any accident or injury resulting from my (or family members) participation in a club activity or use of administrators and personal representatives.
I have read this release in full and understand it, and I hereby (we) apply/renew for membership in the Der Sitzmark Ski Club, Inc.
Signature: ____________________________________ Date: ____________
Print Name: __________________________________________
Signature (spouse) ____________________________ Date: ____________
Print Name: __________________________________________
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