Snowmass 2010 Trip Application and Release
Name(s) as on your Official ID:_________________________________________________________
Address:__________________________________________Home Phone no.____________________
________________________________________Email________________________________
Please check all appropriate spaces (ages are as of trip time):
Total package with standard air___or alternate air (different city or dates) ___ or Land Only___
Total price of trip (without insurance and without extra nights at SMC) – see above rates $__________
Trip insurance optional: yes___ or no___ (If yes, we will notify you with the price as soon as available)
Age___ (at time of trip; for insurance).
Sixth ski day: yes___no___; Silver Pass (10-day “unrestricted”) : yes___no___;
Ski rental: yes___ no___
Roommate (if not listed on this form)_______________________Bedding choice (if available):
1 king___ or 2 queens___
Additional nights at SMC: yes___or no___: if so, before__or after__trip:
# of nights_____ (Additional nights to be arranged directly with SMC).
Print application and sign release. Send with deposit to: Carolyn DeVilbiss , 4508 Peacock Ave., Alexandria, VA 22304
RELEASE, ASSUMPTION OF RISK, AND WAIVER OF LIABILITY
AGREEMENT PERTAINING TO THE JANUARY 13-20, 2010 SNOWMASS SKI TRIP
(1) 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.
(2) I agree not to sue or hold responsible the trip leaders, 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 or 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.
(3) 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.
(4) 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: ___________________________________