Connecticut Youth Ski League

2007-2008 Membership Form

You MUST be a member of USSA and Tri-State by 12/01/07 to join CYSL

Please print clearly.  Complete a separate form for each CYSL member.

1	Members Name	Sex	DOB(mm/dd/yy)	USSA No. (if known)
		Male     Female

2	Parents Name(s)	Home Phone No.	Cell Phone No.	Email
Address		City		State	Zip
Address		City		State	Zip

3	Type of Membership	Dues		4	Club Affiliation	Check
JIII (13-14) born ’93 or ’94		$ 20.00	$	Mt. Southington
JIV (11-12) born ’95 or ‘96		$ 20.00	$	Ski Sundown
JV born ’97 or later		$ 20.00	$	Thunder Ridge
Late Fee (renewal memberships only)*		$ 10.00	$	Mohawk Mt
Late Fee (first race) **		$ 20.00	$
TOTAL		$
*Membership applications received after January 1, 2008 will be subject to a $10 late fee.  **Racers registering at the first race will be charged a $20 late fee. CYSL Administrators Cheryl & Nick Skovran (203) 596-9449 postmaster@cysl.org Nskovran@comcast.net
		You MUST be a member of USSA and Tri-State by December 1^st  to join the CYSL, unless you are a new member. You can download the USSA membership form by visiting: http://www.ussa.org/PublishingFolder/assets/Files/alpformsmembussa.pdf You can download the Tri-State membership form from: http://www.TriStateSkiRacing.org
		Membership Dues are non-refundable. Make checks payable to:    CYSL                            Mail to :  Cheryl & Nick Skovran                                     1194 Hamilton Ave                                     Waterbury, CT 06706

            By signing below, I acknowledge that the above information is true and accurate.

Athlete Signature                Date                                 ________________________________________

Parent /Guardian                          Date ______________________________________________