70+ Okemo Day Trip 70+ members and their guests not staying at Okemo are welcome to join all the group activities. If you want to buy the discounted lift tickets or join us for meals, please complete this form. For the skiing activities, feel free to just show up. Are you a club member?*Family members and friends of members are welcome to participate! YesNo, I'm a guestHow many people are registering?*12Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Date of Birth MM DD YYYY 2nd Person NameName* First Last Date of birth MM DD YYYY Lift Ticket SelectionThese tickets are for skiers age 70+. If you need tickets for a guest under age 70, please specify the age/# of days needed in the comments section at the bottom of this form.Lift ticket for Guest #1*Note: For lift tickets 3 days and more, 1 of the days can be redeemed at Killington or Mt. Sunapee (See guest services for details. I believe they give you a voucher to take to the other resort to get a ticket.) Okemo’s Take 60 Program allows skiers and riders with full or half-day lift access to take the first hour of use to decide if they are completely satisfied with their on-mountain experience. Multi-Day lift access holders have the first hour of use each day to decide. If they choose not to continue their day with Okemo, they may just stop by the Resort Services Desk for a return-visit coupon. Skiers age 80+ can purchase a season pass from Okemo for $39.No ticket Needed1-day ticket $35 (good Mon)2-day ticket $70 (good Mon+Tues)3-day ticket $90 (good Mon-Wed)4-day ticket $110 (good Mon-Thu)Lift ticket for Guest #2*No ticket needed1-day ticket $35 (good Mon)2-day ticket $70 (good Mon+Tues)3-day ticket $90 (good Mon-Wed)4-day ticket $110 (good Mon-Thu)Meal Selection# of guests for Sunday Night Dinner Buffet*$40/person. Reception (cash bar) starts at 5:30 in the Roundhouse, Dinner at 6:30pm012# of guests for Monday night dinner buffet*$40 per person. Reception (cash bar) starts at 5:30 in the Roundhouse, dinner at 6:30pm. 012# of guests for Wednesday Dinner Buffet*$40/per person. Reception (cash bar) starts at 5:30pm in the Roundhouse, dinner at 6:30. Race awards, music, and dancing following dinner. 012Total $0.00 Additional InformationLift Ticket Pickup? (if applicable)I will pickup tickets Sunday night at dinnerPlease leave tickets at Jackson Gore front deskAre you interested in the NASTAR race?Just need to get an idea how many people will participate. Scheduled for 10:00am Wednesday. Just show up.YesNoNot sureI understand refund policy.*Payments non-refundable after December 29, 2018.YesIs this your first 70+ event?YesNoI agree to waiver*I understand and am aware that skiing is a HAZARDOUS activity. I understand that the sport of skiing, travel to and from the ski area and other activities with the 70+ Ski Club involve a risk of injury to all parts of my body. I hereby agree to freely and expressly assume all risks of injury while skiing, travel to and from the ski area and activities with the 70+ Ski Club. I agree that I will release the 70+ Ski Club and its officers from any and all responsibility for injuries or damages to me or to any other person. I have carefully read this agreement and release of liability and fully understand its contents. I am aware that this is a rule of liability and a contract between me and the 70+.YesNoEmergency Contact (Name and Phone Number)*Please list name(s) and phone # (s) for an emergency point of contact.Comments / MessageCAPTCHA70 Plus Ski Club will process your payment through PayPal. You can either pay using a major credit card or by using your PayPal account. Thank you for joining us!