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BRICK IN THE WALL

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Guest Info

Telluride Ski Trip

Particulars regarding ski trip requirements.

Contact Information

Name(Required)

First Middle Last

As it appears on ID used for Air Travel.

Email(Required)

Company Name(Required)

Mobile Phone(Required)

Enter Mobile Phone Data used on Trip.

Travel Information

Date of Birth(Required)

MM slash DD slash YYYY

Frequent Flyer #

Provide American Airlines Frequent Flier Number

TSA #

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Enter Mobile Phone Data used on Trip.

Relationship

Dietary Restrictions/Allergies(Required)

None

Vegan

Vegetarian

Halal

Kosher

Gluten-Free

Lactose Intolerant

Nut Allergy

Other

Dietary Restrictions Description

Activities

Will You be Skiing, Snowboarding, or other Activity?(Required)

Skiing

Snowboarding

Other

Will you bring your own Equipment?

Yes

No

I will bring the following:

Skis/Board

Helmet

Boots

Weight(Required)

Height(Required)

Shoe Size(Required)

Place (F) or (M) Prior to number. IE M9.5 or F10.

Level Skier/Snowboarder

Beginner

Intermediate

Advanced

Expert

Ski/Snowboard Lessons

Yes

No

Trip Items

Favorite Beverage

Shirt Size

Favorite Cuisine

Least Favorite Cuisine

ACKNOWLEDGEMENT OF RISKS(Required)

I understand that Skiing, snowboarding, and participating in snow school lessons, clinics, and sessions (collectively referred to as the “Activity”) involve many risks, dangers, and hazards including, but not limited to: boarding, riding and disembarking ski lifts; changing weather conditions; avalanches; exposed rock, earth, ice, and other natural objects; trees, tree wells, tree stumps and forest deadfall; the condition of snow or ice on or beneath the surface; negligent first aid; failure to act safely or within one’s own ability or to stay within designated areas; negligence of other persons; and RISKS RESULTING FROM THE NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY DUTY OF CARE ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES FAILURE ON THE PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM, OR WARN ME OF, THE RISKS, DANGERS AND HAZARDS. I also understand that other risks include variations in the terrain which may create blind spots or areas of reduced visibility; variations in the surface or sub-surface, including changes due to man-made or artificial snow; variable and difficult conditions; streams, creeks, and exposed holes in the snow pack above streams or creeks; cliffs; crevasses; snowcat roads, road-banks or cut-banks; collision with lift towers, fences, snow making equipment, snow grooming equipment, snowcats, snowmobiles or other vehicles, equipment or structures; encounters with domestic and wild animals including dogs and bears; exposure to INFECTIOUS DISEASE CONTRACTED THROUGH VIRUSES, BACTERIA, PARASITES, AND FUNGI WHICH MAY BE TRANSMITTED THROUGH DIRECT OR INDIRECT CONTACT; collision with other persons; loss of balance or control; slips, trips and falls; and accidents during participation in the Activity. I am also aware that the risks, dangers and hazards referred to above exist throughout and beyond the ski area and that many hazards are unmarked.. ASSUMPTION OF RISKS YOU FREELY ACCEPT AND FULLY ASSUME ALL THE RISKS, HAZARDS, AND DANGERS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, OR PROPERTY DAMAGE (AS SET OUT IN ACKNOWLEDGEMENT OF RISKS) WHILE ENGAGED IN OR AS A RESULT OF MY VOLUNTARY PARTICIPATION IN THE ACTIVITY.

Phone

This field is for validation purposes and should be left unchanged.

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