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Youth Ski Trip Registration

Fill in the form below or click here for printable pdf version of this form to mail in with payment.

Name of Youth

Youth Cell Phone (we use this to keep track of students on the slopes)

Parent/Guardian Name

Parent/Guardian Phone

Email Address*

My youth will be

Skiing Snowboarding

Experience Level

Beginner I (Never skied/boarded before) Beginner II (some experience) Intermediate Advanced

Ticket Options

Please choose one of the 3 options below (place a "1" in desired field). Ski/Snowboard equipment is rented at the same rate. A helmet rental is optional for all tickets. An $80 charge is built in to each option to cover transportation costs.

1. Lift Ticket ONLY		@ $118.00
2. Lift Ticket + Equipment Rental		@ $148.00
3. Lift Ticket + Equipment Rental + 90 Min. Lesson		@ $155.00
Helmet Rental		@ $10.75

Form Total: $0.00

Credit Card Information

Name on Card*

Credit Card Type*

Card Number*

Expiration Month*

Expiration Year*

CCV*

Billing Address

Street

City, State and Zip