Application for 2019 -2020 Ski Season
On the page that follows after you complete your payment for PayPal, close that page and this window will return, then click on 'SUBMIT'
Payment with PayPal is required for this online application. A link is provided on the page after you click submit.
Choose which plan you need *
First Name *
Your answer
Last name *
Your answer
Spouse/Partner First Name *
type "NONE" if there is no spouse/partner
Your answer
Spouse/Partner Last Name
Your answer
Street Address *
Your answer
City *
Your answer
State *
(two-letter abbreviation)
Your answer
Zip Code *
please include the 4 numbers after the dash (ex. 06254-1010)
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email Address *
Your answer
Children members
Please list below all the children you wish to include in your family membership. A family membership consists of parent(s) and children 21 and under)
#1 child's first name
Your answer
#1 child's last name
Your answer
#1 child's age
#2 child's first name
Your answer
#2 child's last name
Your answer
#2 child's age
#3 child's first name
Your answer
#3 child's last name
Your answer
#3 child's age
#4 child's first name (If more than 4 children, please list them here)
Your answer
#4 child's last name
Your answer
#4 child's age
Total number of members you are signing up *
Indicate dinner preference (If there are 2 buses) *
Pick up location *
Required
Want to help out?
Please enter what you would like to do
Legal Disclaimer *
to be signed by all adults. By typing my name below and checking this checkbox, I hereby waive, release & discharge from any and all claims or liabilities against Norwich Ski Club, it's officers, Board Members, activity leaders or trip organizers for any injury I might sustain on Club sponsored programs or trips. I attest that I am physically fit and have been advised and prepared for the possible hazards of these events. I hereby affirm that I am 21 years of age or older and that I have read this document and understand its contents.
Required
Signature (all adults please sign)
Signature first adult *
Your answer
signature second adult *
If there is only one adult member, please enter "none"
Your answer
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