VAIL Trip Application Form
DECEMBER 12-18, 2018

FUND & BANK Staff SKI CLUB

Note: For a couple or family, each participant must fill out a separate application below.

Name (as it appears on your legal form of ID) *
Your answer
Email Address *
Your answer
Cell Phone Number *
Your answer
Status *
Birthday *
MM
/
DD
/
YYYY
Are you *
Singles will be paired if possible with someone of the same gender. If necessary, are you willing to room with someone of the opposite gender? *
Frontier Airlines frequent flyer number
Your answer
Known Traveler Redress Number (if any)
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Lift Ticket (Pick One)*epic pass can be used at this resort
3 Day (Adult $351/Sr $321/Child $243)
4 Day (Adult $436/Sr $396/Child $300)
5 Day (Adult $510/Sr $460/Child $350)
Adult
Senior (65+)
Child (Ages 5-12)
Amount Paid with application (balance due Oct 19, 2018) *
Required
Have you already paid your Club dues? *
I haven't paid, but am sending a separate check for:
I am a: *
Insurance:
The Club recommends that participants purchase sufficient travel insurance and medical insurance as it will not be liable for any injuries caused during the trip or for trip cancellations made by the participant after the cancellation deadline. You can compare and purchase travel insurance at insuremytrip.com.
Upon pressing "submit", your application goes directly to the Trip Leader
PLEASE MAIL CHECKS (one for membership dues and another for trip payment) to:
Frona Hall, 1344 Vermont Ave, NW, Apartment 4, Washington, D.C., 20005
Submit
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