NAME: _______________________________________________________________________

NAME (Spouse): _______________________________________________________________
CHILDREN:

_____________________________________  Name Age	_____________________________________  Name Age
_____________________________________  Name Age	_____________________________________  Name Age

ADDRESS (Street,City, State Zip):
_______________________________________________________________________________

_______________________________________________________________________________

TELEPHONE (area code) ###-####: [Home] _______________________
[Business] _______________________________

If your profession or skill is one that the Club or individual members might hire, please list:

_______________________________________________________________________________

RELEASE OF LIABILITY

I understand it is incumbent upon me as a member when participating in any ICE.COM SKI CLUB OF AUSTIN, INC. (ICE.COM) club event to do so in a manner which will not be a threat to the safety of others or myself. I have voluntarily applied for membership in the ICE.COM. IAM AWARE THAT SKIING IS A HAZARDOUS ACTIVITY AND HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH. In the event of injury or death to myself or any of my family at any ICE.COM sponsored event, including skiing, I hereby agree that neither I, nor my heirs, guardians, legal representatives or assigns will sue, make a claim against, attach property of, or prosecute ICE.COM, its officers, directors, or agents for injury or damage resulting from the negligence or other acts, however caused, by an officer, director, employee, agent or contractor of ICE.COM, as a result of my participation and do hereby release and forever discharge ICE.COM, its officers, directors, and agents from any actions, claims or demands we now have or may hereafter have for any injury or damage resulting from our participating in any ICE.COM sponsored activity. I also understand that a $25.00 fee will be charged by ICE.COM and paid by me to the ICE.COM for any check returned unpaid by my bank for any reason.
 

DATE	APPLICANT'S SIGNATURE	DATE	SPOUSE’S SIGNATURE
________	_____________________________	________	_____________________________

5/16/00