Fillable Sts Ski Trip Application And Liability Waiver Form printable pdf download

Sts Ski Trip Application And Liability Waiver Form

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STS Ski Trip Application and Liability Waiver Form

Part I: The Ski trip Application

Each participant must provide this information to the trip leader before the trip. Submit this application

with the waiver, and a check payable to the trip leader to be on the trip. Trip leader will provide her/his

mailing address, or you can leave this application with the trip coordinator at the annual ski fair.

Name of Destination ______________________________ Dates of trip:____________________________

Name of Lodging(s) ______________________________________________________________________

Are you a member of:

STS

Yes __ No___

PATC Yes___ No___

(Please circle membership status)

Applicant’s Name_______________________________________________________________________

Address_______________________________________________________________________________

______________________________________________________________________________________

Phone #s

Home _______________________ Work ______________________Cell _______________________

E-mail address:_________________________________________________________________________

Emergency Contact: ______________________________________________________________________

Name

Home /Work/Cell #s ____________________________________________________________________

TRANSPORTATION INFORMATION:

Are you willing and able to drive?

Yes____

No____

Do you own a car that is reliable in winter?

Yes_____ No_____

If Yes how many passengers (w/skis and bags) are you willing to take? _____

LODGING INFORMATION:

Name of preferred roommate(s) :__________________________________________________________

Those not identifying an accompanying roommate/participant will be assigned one or more roommates (of

the same sex, whenever possible).

SKILL LEVEL: Circle below the description that best describes your cross-country ski level:

First time Beginner Intermediate Advanced Other (explain)_________________________________

Are there any medical/physical conditions of which the leader(s) should be aware? Yes ___ No____.

If yes, please explain____________________________________________________________________

____________________________________________________________________________________________________________

________________________________________________

Date of this copy: 9/15/2007

Sts Ski Trip Application And Liability Waiver Form

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