Seacoast Ski Club

Trip Registration Form

 How to sign up for a Seacoast Ski Club trip: If you can't sign-up at our membership meetings in person, call the Trip Leader to confirm that there is space available. Get a mailing address for the Trip Leader. Print this page, completely fill it out, and mail it along with your trip deposit check made out to Seacoast Ski Club to the trip leader. The deposits are $50 for a weekend trip and $250 for a week long trip. Club membership is required prior to registration. Please review the SSC Trip Refund Policy online at www.SeacoastSkiClub.Org.

TRIP & EVENT REGISTRATION FORM

_____________________________              ______________        __________________________________ Trip Destination                                Trip Date                      Trip Leader(s)

 Name______________________________________________    

Street__________________________________________________________________________________ City_____________________________________________ State_________________ Zip_____________

Home Phone: ______________________ Work:_______________________  Cell: ___________________ Fax:__________________________ E-MAIL Address:__________________________________________

Roomate Preference______________________________________________________________________

Special Request:_________________________________________________________________________

 Make trip deposit checks payable to: SEACOAST SKI CLUB

 Deposit Amount: _________________________________________   Check#______________________

 Membership Number or Expiration Date:  _________________________

Please Circle:

Do you smoke?    YES NO Do you snore?                      YES NO Would you like a rider?       YES NO

Lift Tickets?          YES NO Do you need a ride?            YES NO Going up early?                    YES NO Rental Gear?          YES NO                  Lessons desired?                 YES NO

**in case of an emergency contact:__________________________________________________________

**phone number(s)_______________________________________________________________________

RELEASE OF LIABILITY: Members of the Seacoast Ski Club, their guests or other non-members acknowledge and hereby agree that his or her participation in any particular outing is at his or her own risk and that by participating or joining the Seacoast Ski Club for an particular outing, he or she is deemed to be representing to the Seacoast Ski Club, its Directors, its officers and members, that he or she possesses sufficient expertise/skill in the activity to participate safely. The Seacoast Ski Club, its Directors, its officers or members shall not be held liable for any injuries or property damage of any kind to anyone sustaining an injury or property damage. By affixing my signature to this release, I acknowledge and accept the fact that skiing, biking, hiking, and all other activities or events planned or organized by the Seacoast Ski Club can be dangerous and I am executing this release of my own free will.

 SIGNATURE of MEMBER__________________________________________________DATE_______________