Mail To:          Mt. Pleasant Figure Skating Club                   Make Checks Payable To:

                        Membership Chair                                          MPFSC

                        PO Box 975

                        Mt. Pleasant, MI  48804-0975

 

 

CLUB REGISTRATION FORM

 

 

MPFSC membership for the 2007-2008 skating season.   

MPFSC membership of parent or guardian not required.  Board members are encouraged to become club members.

 

            First Family Member $35.00................................................................................ $   ____________

            Additional Family Member(s) @ $15.00 ea.......................................................... $   ____________

            Names:  _______________     _____________________________________

                                             1st Member                                            Add’l Family Members

 

                                                                Sub-total MPFSC Registrations/Renewals  $   ____________

 

 

USFSA membership for the 2007-2008 skating season.

USFSA membership of parent or guardian IS required if under the age of 18.

 

            First Family Member $35.00................................................................................ $   ____________

            Additional Family Member(s) @ $12.00 ea.......................................................... $   ____________

            Names:  _______________     _____________________________________

                                             1st Member                                            Add’l Family Members

 

                                                                 Sub-total USFSA Registrations/Renewals  $   ____________

 

 

 

                                                                         Total Registrations/Renewals Paid $   ____________

                                                                                               Payment Type:  Check No.   ____________

                                                                                                                                    Cash   ____________

 

                                                                              Name _______________________________________

                                                                                                                  (Please Print)

                                                                              Address _____________________________________

All fees are good for one year. (July 1, 2007 – June 30, 2008)

                                                                              ____________________________________________

 

                                                                              Phone (_____) ________________________________

                                                                              E-mail: ______________________________________

           

MEMBERSHIP FORM  6/1/07                             Signature ___________________________________