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Printing does not submit, activate membership or record payment.

Blue Ridge Ski & Outing Club

Membership Application

Join the club

Complete online whenever possible, or return this signed paper form using current club instructions.

Apply online — scan here
https://staging.brsoc.org/membership/applicationSTAGING REVIEW - NOT FOR DISTRIBUTION

1. Choose membership

□ Individual   □ Family

Current dues are confirmed through the membership/payment flow. Do not copy an old amount onto this form.

2. Primary Household Member

First name: ______________________________ Last name: ______________________________

Email: ______________________________________________ Phone: __________________________

Date of birth: ______________

Street: _____________________________________________________________________________________

Apartment/unit: __________________ City: __________________ State/province: ______ Postal code: __________

Activities you enjoy (optional): _________________________________________________________________

3. Family Membership

Secondary Household Member (optional adult):

First name: ______________________________ Last name: ______________________________

Email (optional): __________________________________ Phone (optional): __________________

Date of birth: ______________ Signature: __________________________________________

Other Household Member 1: __________________________________ DOB: ______________

Other Household Member 2: __________________________________ DOB: ______________

Other Household Member 3: __________________________________ DOB: ______________

□ Everyone on this Family Membership lives at the address above.

4. Membership agreement

Membership fees are non-refundable unless otherwise stated in writing. Assumption of Risk: I acknowledge that participation in club activities involves inherent risks including but not limited to skiing, hiking, camping, and travel. I voluntarily assume all risks and agree to hold the Blue Ridge Ski & Outing Club, its officers, directors, and members harmless from any claims arising from my participation. Code of Conduct: I agree to conduct myself in a manner that reflects positively on the organization and understand that membership may be terminated for inappropriate conduct. Privacy: I consent to the club's use of my contact information for club-related communications and understand that my information will not be shared with third parties without consent. Governing Law: This agreement is governed by the laws of the Commonwealth of Virginia. Online payments are made through PayPal. Membership is not active until payment is received and processed.

Terms version: online-membership-2026-09-09

□ I have read, understood, and agree to abide by the membership agreement above.

Primary Household Member signature: ______________________________________________

Date: ______________

Submitting a paper application does not mark dues paid, create a charge, send an invitation or activate membership.