Name: Tel. Land Line:

Address: Mobile:

DOB: Email: Please tick to opt out of IWSF email d/base:

Status: (1) Renewal: (2) New Applicant

2010 Membership Type:

Full New Member **** €250

Adult Renewal **** €250

Student****** €150

Child (under 18) **** €100

Family membership: €400 (1 adult & 2 children)

Family membership: €600 (2 adults & 2 children)

 

Site Improvement and Amenity Contribution

Total

"I, the undersigned hereby acknowledge that I have read fully and agree to abide by"
and uphold the constitution and rules of Muckno Waterski & Wakeboard Club.
( A copy of which is available to read at the clubhouse).

Signed

Date:

Signature of Parent or Guardian if under 18

* Subject to verification by the committee
** To qualify as a student you must produce a current valid Full-Time student identity card. No Exceptions
*** Any Photographs or Videos taken at the club may be used in promotional material

Book a Ski - Call our full time boat driver on 087 7402806

Please Print and return by post to: Mr Ciaran Agnew, Lough Muckno WS&WB Club, 45 Fane View, Blackrock, Dundalk, Co.Louth