Name *

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Last

Phone Number

Email *

Are you also signing up for another member?

• Yes
• No

If yes, List Member's Name below

Payment Choice – Must Do ASAP to hold Reservation

• Send a check to LPSC, PO Box 6112, Oxnard, CA 93031
• Payment through Zelle or Venmo (payee is lospadresskiclub@gmail.com)
• Give you check to any Board Member

Submit

Please Make Payment Immediately to hold your reservation!