70+ Vermont Ski Fest at Okemo Jan 5-9, 2020 This form is to make a deposit for the 70+ Vermont Ski Fest at Okemo. You will receive an invoice for final payment due November 6, 2019. Please contact the club if you need the trip flyer with all the trip details or have any questions. How many people is this deposit for?*12Are you a club member?*Family members and friends of members are welcome to participate!YesNoName* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country PhoneEmail* Date of Birth Date Format: MM slash DD slash YYYY 2nd Person Name and Date of BirthName* First Last Date of Birth* Date Format: MM slash DD slash YYYY Lodging Choice*Please choose your rooming situation. You can list any special requests (including roommate) in the comments section at the end of this form.Please assign a roommatePlease assign my preferred roommateI prefer a single roomWe are a coupleLift ticket Skier #1?*Skiers typically choose 3-day tickets unless they plan to ski on the day of departure or have extended their stay. 80+ for $39 are available for a limited time. Call 970-754-0049 for more information. These group prices ARE ONLY AVAILABLE BY PRE-PURCHASE, not at the window. Many EPIC passes also have benefits at Okemo. 3 out of 4-days4 out of 5 daysNo ticket neededLift ticket Skier #2?*Skiers typically choose 3-day tickets unless they plan to ski on the day of departure or have extended their stay. 80+ for $39 are available for a limited time. Call 970-754-0049 for more information. These group prices ARE ONLY AVAILABLE BY PRE-PURCHASE, not at the window. Many EPIC passes also have benefits at Okemo. 3 out of 4-days4 out of 5 daysNo lift ticket neededTotal $0.00 Additional InformationBed PreferenceStandard Inn Room: 1 or 2 queen beds. Other assigned units may have queen wall bed or fixed queen and 1 queen sleeper with fireplace & kitchen. 1 Bed (Queen or King)2 beds (Doubles or Queens)I understand cancellation policy*Cancellation policy: More than 120 days from start of trip (full refund), 60-119 days (forfeit deposit), 45-60 days (forfeit 75%), less than 45 days (no refund). YesNoPlease select your preferred level(s) of skiing Non-skier Easy Groomed trails (slow pace) Intermediate groomed trails (moderate pace) Intermediate & Advanced trails (moderate to fast pace) Don't even try to keep up! (moguls and glades) I 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 / MessagePlease list any special requests including any food restrictions, or preferred roommatesCAPTCHA70 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!