Trip Application

Fields marked with * asterisk are required.

Contact Information
First Name*:

Last Name*:

DOB* (yyyy-mm-dd):

Gender*:

Cell*:

House Phone:

Email*:

Addtress*:

Addtress 2:

City*:

State*:

Zipcode*:

Trip Information
Trip Destination:

 Land only.   Check here if purchasing land only portion of the trip. (Confirm price with Trip Leader prior to completing this form). If you travel separately and are at the airport when we arrive, you may travel with us to the property. Otherwise make your own transfer arrangements.

Participant Information (Note: We make every attempt to fulfill preferences but they are not guaranteed.)

Please enter ALL people going on this trip (Including Yourself).

Person 1
First Name:

Last Name:

Nickname:

Lift Tickets (# days):

Ski Level:

DOB (yyyy-mm-dd):

Gender:

Cell:

Email:

Person 2
First Name:

Last Name:

Nickname:

Lift Tickets (# days):

Ski Level:

DOB (yyyy-mm-dd):

Gender:

Cell:

Email:

Person 3
First Name:

Last Name:

Nickname:

Lift Tickets (# days):

Ski Level:

DOB (yyyy-mm-dd):

Gender:

Cell:

Email:

Person 4
First Name:

Last Name:

Nickname:

Lift Tickets (# days):

Ski Level:

DOB (yyyy-mm-dd):

Gender:

Cell:

Email:

Person 5
First Name:

Last Name:

Nickname:

Lift Tickets (# days):

Ski Level:

DOB (yyyy-mm-dd):

Gender:

Cell:

Email:

Person 6
First Name:

Last Name:

Nickname:

Lift Tickets (# days):

Ski Level:

DOB (yyyy-mm-dd):

Gender:

Cell:

Email:

Name of person(s) you wish to room with (if different from above):

Room Purchase*:

Bedding Preference*:

Emergency Contact Name*:

Emergency Contact Relation*:

Emergency Contact Phone*:

Waiver

I/we acknowledge that I/we have read, understand and consent to the following Terms & Conditions:  I/We accept

Cancellation Policy: Money paid and owing for any trip, by any member is refundable under certain circumstances. Factors controlling refunds are dependent on time frames and arrangements pertaining to each particular trip. For refund consideration, cancellation must be made in writing to the trip leader. The Cancellation fee is $25 per person plus any non-recoverable costs.

The Boca Ski Club may waive cancellation penalties if the participant offers an acceptable, eligible alternative. The Club will make every reasonable effort to accommodate the change. However, in certain circumstances, i.e. gender related problems associated with bed assignments, the Club may reject the proposed substitution or require supplemental funds.

I HAVE READ AND AGREE TO THE Cancellation terms. All trip participants eighteen and over must sign.

Payment Information

NOTE: Trip price does NOT include lift tickets. Trip insurance is highly recommended; ask your trip leader for information. Our trips have non-cancellation policies and you should not assume you will be able to obtain a refund from the club for deposits or trip payments. If you have not paid dues this year, include Membership Application and separate payment to the club Treasurer, as well.

Application is not considered complete until a deposit of $500 is paid and received.

Please select your payment option:


$ and the Check number is

Make checks payable to: Boca Ski Club, Inc. and send your check to the Trip Leader:

Trip Leader Contact Info:

Trip: Snowmass

Trip Leader: Tony Magna

Address: 5500 Fairway Park Dr, Unit 204, Boynton Beach,Fl 33437

Phone: (561) 703-7092

Fax: (561) 200-6836

Email: tonymagna@aol.com

Trip: Breckenridge Colorado

Trip Leader: Kevin Murtha

Address: 1841 Riverwood Ln, Coral Springs, Fl 33071

Phone: (954) 410-9280

Email: Vicepresident@bocaskiclub.com

Trip: St Anton

Trip Leader: Kathi Mosier

Address: 665 Simonds Road, Williamstown, MA 01267

Phone: Cell-(954) 683-3858 Work (413) 458-4545

Email: kathi@kathimosier.com

Trip: Banff Lake Louise

Trip Leader: Linda Howe

Address: 1549 SW 4th Ave, Boca Raton, Fl 33432

Phone: (561)-289-7485

Email:LindaHoweFL@gmail.com

Trip:Big Sky Montana

Trip Leader: Larry Eckert

Address: 2010 NE 60th Street, Fort Lauderdale, Fl 33308

Phone: (954)-557-1776

Email:President@bocaskiclub.com

Note: Your application will be confirmed only after your payment is received.

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