TRIP APPLICATION & RELEASE FORM
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TRIP APPLICATION & RELEASE FORM
TAMPA BAY SNOW SKIERS and BOARDERS
TRIP APPLICATION & RELEASE FORM
This is a College Trip sponsored by USF & TBSSB
This Trip is restricted to College Students and Affiliates
TRIP DESTINATION: Winter Park III USF Trip Dates: 03/10/07 03/14/07 .
* = Required Items
Legibly PRINT names as they appear on state Drivers License or U.S Passport; PHOTO ID required.
List PRIMARY PARTICIPANT (to receive correspondence and be responsible for all payments) on 1
st
line.
A NEW form must be used for each participant who will be paying separately.
*Last Name
*(Legal) First Name
MI
*Student Id. No.
*
AGE
(Minor
/
Adult)(A=Adult)
PRIMARY PARTICPANTS MAILING ADDRESS:
IN CASE WE NEED TO CONTACT YOU:
*
Street: _________________________________________________________ | *
Primary Ph:
(____) _________________
*City: ____________________________*State: ____*Zip: __________ | Secondary Ph: (___) ______________
E-mail Address: _____________________________________________ | Tertiary Ph: (___) ______________
*In Case of Emergency, Please Notify:
*Name _____________________________________ *Phone (____) _____________________
OPTIONS
(If applicable)
Lodging Unit Request: _________________________________
Rooming with? ____________________________
Airline Preferred _____________________ Land only: ___ Single only: ___ Looking for Roommate? ____
Special Requests: _____________________________________________________________________________
Volunteer for? : ___Sitzmark; ___Social Events; ___Catalog; ___Trip Assistant; ___Publicity
Are there any birthdays, anniversaries, or any other special event among your group on your ski trip? Tell us about
them: ______________________________________________________________________________________
Other Important Information:
Membership:
Your membership, and a General Membership for all members in your group as listed above, is included in the trip price.
Transferring:
Any participant, as listed above, transferring from one trip to another shall be considered as having cancelled the first
trip and is subject to a $25 transfer fee (reduced cancellation fee) for administrative costs. All transfers must be in writing AND
submitted prior to the cancellation date as advertised in the official Club trip description for this trip.
Roommates:
It is the responsibility of all participants to assure compatibility prior to signing up. Trip leader will assist, but is not
responsible for, finding roommates. Space is held for singles only if participant is willing to pay single rate if a roommate is not found.
Insurance:
Tampa Bay Snow Skiers and Boarders recommends travel insurance for all trips. Information will be sent with your final
billing.
Seats and Bedding:
Tampa Bay Snow Skiers and Boarders will make every effort to accommodate requests for airline seating &
condominium/ hotel/lodge bedding configuration. However, we cannot guarantee any particular seats or bedding arrangements.
Changes:
Participants making any changes in air reservations, lodging or lift tickets AFTER the balance due date will incur a $25 fee.
Ground Only:
Ground-only participants will be responsible to arrange and bear the cost of ground transportation to & from the airport
to the resort. Space on Club buses can be used, if available (your trip leaders decision), and if participant is present when bus departs.
Airlines:
Tampa Bay Snow Skiers and Boarders is not responsible for schedule changes and/or change of airline.
Frequent Flyer
: Tampa Bay Snow Skiers and Boarders will submit your frequent flyer number to the airline, but ultimately you are
responsible to make sure the airline has it in their system.
Trip Prices:
Participants are subject to all new taxes or fees imposed by either the government, airline, lodging or any agency involved.
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(Rev 07/06)
Release of Liability and Hold Harmless Agreement:
I, as the Primary participant, and those participants (GENERAL MEMBERSHIP) who are listed by me on page one who are members of
my group, do hereby appoint TAMPA BAY SNOW SKIERS And BOARDERS (Club), its officers and agents, as my/our agent to
perform all acts and to enter into any and all contracts as may be deemed as desirable in connection with any ski trip or other club
activity. I/We understand that the Club acts only as a coordinator and accepts no responsibility for the services of any person, ski area,
airline, motor coach, hotel, insurance company, ski rental company, mountain resort, or organization whatsoever rendering any of the
services or accommodations being offered on any trip. Ski trip and any other activity fees are based upon current tariffs and are subject
to change without notice. The Club accepts no responsibility in whole or in part for any delay, delayed departure or arrival, missed plane
or other carrier connections, loss, damage or injury to person or property, mechanical defect or any failure of any nature, howsoever
caused, or for any substitution of lodging or of common carrier, with or without notice, or for any additional expenses occasioned
thereby. I/We fully understand that the Club is a voluntary association run by volunteers who are not professionally trained in
conducting ski trips or other activities. By participating, I/we do not rely on the expertise of any director, officer, activity coordinator, or
the agents of any of the foregoing. I/We agree that I/we am/are solely responsible for my/our personal safety and conduct and I, as the
Primary participant, am responsible for meeting all payment deadlines and obligations to Club, bank, and card issuers. Should I/we miss
departure, I understand that I may not be able to recover any part of my/our trip or activity payment. I agree to indemnify and hold
harmless the Club, its officers, and agents or contractors from any loss or cost for expense incurred by or attributable in any way with any
ski trip or other activity. I/We agree to abide by the Bylaws, rules, and regulations of the Club and the trip leader(s) in connection with
any ski trip or other activity.
Cancellation Policy:
1.
Cancellation by any participant (as listed on page one) prior to the cancellation date as specified/advertised in the TBSSB
official trip description for this trip will result in a $50.00 cancellation fee (per person). Cancellation after the cancellation date
will result in a $125 [domestic trip (USA)] or $175 [non-domestic trip (non-USA)] fee (per person), OR the total cost of the trip
as determined by the club. Some trips have more restrictive cancellation provisions due to airline or lodging restrictions. Any
participant may obtain substitute participant to take his/her place, but the Primary participant shall be liable for the
cancellation fee cited above and any charges incurred due to name changes.
2.
All cancellations by participants must be in writing by the Primary participant to the designated Club trip leader for this trip.
3.
All trip payments are due on the date specified on the official trip description. If not received when specified, the Primary
participant risks losing his/her place(s) on the trip and being treated as having cancelled. (See your Trip Leader if you are in
doubt as to when your trip payments are due.)
4.
In the event a trip is cancelled by the Club due to poor skiing conditions, a lack of participation or for any reason beyond the
control of the Club, Primary participant will receive a full refund of all paid monies.
NOTE: Prices on all trips may be subject to change due to unforeseen increases. The Club and its agents have no control or
responsibility over such increases. The Primary participant will be responsible to pay for these increases should they occur.
PAYMENT: 3 Options: 1.) Personal Check; 2.) Credit Card
(Visa, MasterCard, or AMX)
; or 3.) Cash
(In Person)
SUBMIT/MAIL THIS SIGNED TRIP APPLICATION
TO THE
TRIP LEADER
With Full Deposit
(A deposit must accompany this application. Amount Due: $250 per person for domestic trips,
$350 per person for non-domestic trips. No space is held until your full deposit is received.)
MAKE
CHECKS PAYABLE TO: TAMPA BAY SNOW SKIERS And BOARDERS
[Checks returned for Non-Sufficient Funds (NSF) will result in a $25 Returned Check Fee for each check
submitted toward payment. Thereafter, payment will be submitted by Certified Check or Money Order.]
FILL OUT
CREDIT CARD AUTHORIZATION (Separate Form) and Attach to this Form
I, by signing below, understand that I represent all members of my group (as listed on page one). I acknowledge that
a fee of $50.00 per person will be charged for all cancellations prior to the cancellation date, and that if I fail to cancel
this reservation in writ