2011 Snowmass Ski Trip Application
Name
as on your Official
ID:__________________________________________________________
Address:___________________________________________________________________________
Home
phone no._________________________________Email:-_____________________________
Please check all appropriate spaces (ages as of trip date):
Total package with standard air_________or alternate air (different city or dates) or land only______
Total price of trip (without insurance or extra nights at SMC--see above rates) $___________________
Trip insurance (optional): yes___no______(If yes, we will notify you with the price as soon as available)
Age_____(at time of trip; for insurance)
Roommate
(if not listed on this
form)_______________________________________________ Bedding
choice (if
available): 1king_____________or
2 queens______________________ Number
of nights_________
(arrange for
additional nights directly with SMC)
Send
application (above) with deposit and signed waiver (below) to: RELEASE,
ASSUMPTION OF RISK, AND WAIVER OF LIABILITY AGREEMENT PERTAINING TO
THE JANUARY 19-26, 2011 SNOWMASS SKI TRIP (Potomac Valley Skiers) I acknowledge that there are
inherent risks in the sport of skiing and other sports or activities in
which I might participate during this trip, and in the process of
traveling. There may be bodily injury, illness, accident, death,
property loss or damage, and unanticipated additional costs or other
economic losses. I fully and willingly accept the responsibility and
liability for all such risks, dangers, costs, and losses.
I agree not to sue or hold
responsible the trip leader, Potomac Valley Skiers, Inc. (hereafter
PVS), its officers and members of the Executive Committee, or its
members for: (1) any accident, personal injury, illness, or death
occurring to me or to any other trip participant, arising directly or
indirectly from this trip; (2) any loss of deposit of payment, any
other property or economic loss, or unanticipated additional costs,
delay, or change of itinerary arising out of any action or inaction of
any hotel, airline, tour operator, land transportation operator, or
other entity or person providing services on this trip; and (3) any
trip cancellation, delay, early termination or extension due to acts of
God, forces of nature, or other force majeure events or situations. I
willingly and with full knowledge assume these risks.
I understand and agree that the
trip leaders, and the tour operators or agents with whom the trip
leaders have contracted, have the right to substitute accommodations of
similar or better quality, to change transportation arrangements and
providers, and to modify other services. In the event of such changes,
no refund or credit will be provided if the accommodations,
transportation, or services are of comparable or better quality and
cover the same approximate time period.
I agree that I am not entitled to
a credit or refund for any included trip service that is not used by me.
I
have read and I fully understand this "Release, Assumption of
Risk,
and Waiver of Liability Agreement," the final trip flyer, and
the
trip application, and I agree to all of the specified terms and
conditions. Signature
of
Participant:________________________________________Date:__________ Printed
Name of Participant:________________________________________ Signature
of
Participant:________________________________________Date:__________ Printed
Name of Participant:________________________________________
Carolyn DeVilbiss, 4508 Peacock Avenue, Alexandria VA 22304.