ST.  LOUIS SKI CLUB TRIP APPLICATION 2008

 

Before submitting, please read trip policies, as cancellation policies will apply.  You must be a member of the St. Louis Ski Club to participate in a trip.  Please submit a separate application and write a separate check for each trip.  Make checks payable to the St. Louis Ski Club” and mail to:

 

St. Louis Ski Club

P.O. Box 4343

Chesterfield, MO  63006

 

 

Trip:  ___________________________   Trip Date:  ______________________   Price:  $ _______________

 

Amount Enclosed:  $ ___________   Trip Credits Used:  ________  (Please include signed trip credit form)

 

 

Please print your name as it appears on your Photo I.D., which you will present to the airline.

 

First: _________________________  Middle: _______________________ Last: _______________________

 

Address: _________________________________________________________________________________

 

City: _____________________________________  State: _____________________  Zip: _______________

 

Home Phone: _____________________ Work Phone: __________________  Email: ____________________

 

Male: _______  Female: _______                                Age: _______

 

I want to room with: ________________________________________________________________________

 

Will room with a smoker:  _____  Yes  _____  No                    Do you smoke?:  _____  Yes  _____  No

 

Emergency Contact Name & Phone: ___________________________________________________________

 

 

RELEASE OF LIABILITY

The St. Louis Ski Club is a nonprofit corporation engaged in snow skiing and other sporting events and activities for its members.  Many of the activities may be hazardous.  By applying for this trip with the Club, I, voluntarily assume all risks involved and by doing so agree not to hold St. Louis Ski Club, its agents, officers, Board of Directors or members liable for any accident or injury to my self or dependents, or for any loss or damage or destruction to my property, which may result from or on account of my participation in a club activity.  I have read and understand this Release of Liability and the club’s Trip Policies, and having done so, I apply for this trip with the St. Louis Ski Club.

 

SIGNATURE: ________________________________________  DATE: ____________________________

 

 

 

Date Received by Record Center: ________________ Membership Verified:  _______  Yes  _______  No

 

Trip # : ________  Sign-up # : _________