How to Sign up for a Trip: If You Can't Make Our Membership Meetings to Sign up in Person

Seacoast Ski Club

Trip Registration Form

How to sign up for a Seacoast Ski Club trip: If you can't sign-up at our membership meetings in person, contact the Trip Leader to confirm that there is space available. Mail this form with a check payable to Seacoast Ski Club for the deposit of $50 to: Carol Stevens, Harbor House #505, 1 Commodore’s Ct., Spinnaker Island, Hull, MA 02045. The payment schedule is: 2nd payment of $100 is due Novmeber 13, 2012; final payment of $109 is due December 31, 2012. Please review the SSC Trip Refund Policy online at

Membership is required prior to registration. If you are a new member or your membership has expired please fill out a membership form online at You may pay via Paypal or mail a check for your dues to the Seacoast Ski Club, P.O. Box 90, Portsmouth, N.H., 03802-0090. Make the check out to the Seacoast Ski Club.

TRIP & EVENT REGISTRATION FORM

KILLINGTON, VT_ January 11 – 13, 2013 Carol Stevens & Daphna Anderson

Trip Destination Trip Date Trip Leader(s)

Name______

Street______City______State______Zip______

Home Phone: ______Work:______Cell: ______Fax:______E-MAIL:______Address:______

Roommate Preference______

Special Request:______

Make trip deposit checks payable to: SEACOAST SKI CLUB

Deposit Amount: ______Check#______

Membership Expiration Date: ______

Please Circle:

Do you want to carpool? YES/NO

Do you smoke? YES/NO Do you snore? YES/NO Would you like a rider? YES/NO

Lift Tickets? YES/NO Do you need a ride? YES/NO Going up early? YES/NO Rental Gear? YES/NO Lessons desired? YES/NO

**in case of an emergency contact:______

**phone number(s)______

RELEASE OF LIABILITY: Members of the Seacoast Ski Club, their guests or other non-members acknowledge and hereby agree that his or her participation in any particular outing is at his or her own risk and that by participating or joining the Seacoast Ski Club for an particular outing, he or she is deemed to be representing to the Seacoast Ski Club, its Directors, its officers and members, that he or she possesses sufficient expertise/skill in the activity to participate safely. The Seacoast Ski Club, its Directors, its officers or members shall not be held liable for any injuries or property damage of any kind to anyone sustaining an injury or property damage. By affixing my signature to this release, I acknowledge and accept the fact that skiing, biking, hiking, and all other activities or events planned or organized by the Seacoast Ski Club can be dangerous and I am executing this release of my own free will.

SIGNATURE of MEMBER______DATE______