Name:
USA WS Member #:
Expires:
Address:
City:
State: Zip:
DOB:
Phone:
Fax:
E-mail:

Please check all events that you will be attending

SATURDAY FUN DAY(10-22-11) YES NO
Non member rate Price: FREE
Member rate Price: FREE
I am willing to help where needed at the event. YES NO

NOTE: All participants must be active members of USA Water Ski or
purchase a one day guest membership. Please bring a dish to pass and your own refreshments.
SUNDAY COMPETITION (10-23-11)
Skionee Member rate YES Price: $25:
Non member rate NO Price: $50
Skionee official (working event) YES Price: FREE
TOTAL FEE DUE
I am willing to help where needed at the event. YES NO
I am working on the following officials assistant or upgrade rating.
Comments:
After you complete this form hit the submit button. You will be directed to the payment page.

Note: You will need to show your AKA/Kneeboard membership card at the event. Join today at www.usawaterski.org. You may join Skionee Board Team online at www.kneeboard.us. Be sure to print your waiver and release of liability form and bring to the event. Without this form you will not be able to participate. Need more info? Contact Chief Wakeoback, Event Organizer at TR672GR @ aol.com.

Halloween Throwdown
Online Registration