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or renewing your membership
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First Name:
Last Name:
Address1:
Address2:
City:
State:
Zip:
Country:
Phone1:
Phone2:
Email 1:
(optional) A 2nd Email:
May we list your name
in the club directory?
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Your Birthday:
Month
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Day
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Emergency Contact Information
Emerg. Contact Name:
Relationship to you:
Emerg. Contact Phone:
Your Interests
Downhill Skiing
Snowboarding
Cross Country
Telemark
Ski Racing
Hiking
Camping
Diving
Canoeing
Water Skiing
Sailing
Whitewater Rafting
Concerts
Travel
Musical Theater
Dramatic Theater
Comedy Shows
Film
Saga San Diego Snow Sports and Social Club
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