KENTUCKY WATER SKI FEDERATION

APPLICATION FOR MEMBERSHIP

Membership in the Kentucky Water Ski Federation shall be open to all residents of
Kentucky who are "ALSO" members in USA Water Ski.

Annual Dues are $10.00 for a single membership or $25.00 for family membership.

Expiration date: December 31st of each year.

Make Checks Payable to:

Kentucky Waterski Federation

Send to:

Joy Coomes
6414 French Island Road
Owensboro, KY 42301

*** Please Print Clearly *** Date: ______________________

Name: __________________________________________ D.O.B.: _____ / ______ / ______

Address: _________________________________________________________________________

City: _______________________________ State: _____________ ZIP: __________

Phone: (_____) ___________________ E-Mail Address: _______________________________

USA WATER SKI Membership #: ____________________________________________________

Single Membership: __________ Family Membership: __________

Family Members Name D.O.B. USAWS Membership #

_______________________________ _____ / _____ / _____ _____________________

_______________________________ _____ / _____ / _____ _____________________

_______________________________ _____ / _____ / _____ _____________________

_______________________________ _____ / _____ / _____ _____________________

_______________________________ _____ / _____ / _____ _____________________

Additional Information / Comments (optional): ___________________________________________

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Clubs and Representatives - Make copies of this application and give to each person in your club, friends, etc. who reside in Kentucky and are members of USA Water Ski.