Cape Cod Ski Club Trip Reservation Form (rev. 10/24/13)
You must be a member in good standing to sign up for trips (one day memberships available for day trips only). Make check payable to CCSC and mail to trip leader. No reservations accepted without total amount due. Please help us and sign up on line at www.capecodskiclub.com
Trip
Date (s)
Bus Boarding
Harwich 4:30 am
Barnstable 4:50 am
Sagamore 5:10 am
Rockland 5:50 am
First Name and Middle Initial
Last Name
Date of Birth
Phone Number(s)
E-Mail address
Day Trips (Send one check only to trip leader). Call trip leader if using ski club raffle/cancel credits on your account
Member: $76
One Day Member: $91
Street (mailing) Address
City, State, Zip Code
Emergency Contact Name
Emergency Contact Phone
Any Medical Circumstances? Elaborate
Day Trip Family Names OR Overnight trip Room/Condo mates requested.
LIABILITY POLICY: Participants acknowledge that there are inherent risks in skiing, riding and other sports or events, and agree to hold harmless the Cape Cod Ski Club ("CCSC"), and its agents from any claims whatsoever resulting as agent carrying out services and assumes no responsibility or injury, loss or damage to persons or property, nor for faults or defaults of companies or those carrying out services; nor accidents, injuries, delays, cancellations, changes due to weather, baggage, lodging, insufficient participation, or reasons beyond the control of the CCSC. By signing below, I CERTIFY THAT I HAVE READ AND AGREE TO THE LIABILITY POLICY AND WAIVE ALL LIABILITY.
SIGNATURE (REQUIRED!)
Date
Should be Empty: