Welcome to the Oak Park Ski Club website Oak Park Ski Club

Trip Registration Form

Trip: _________________________________ Trip Dates:________________________

Name as it shall appear on your ticket: _________________________________________

Address: _______________________________________________________________

City and State: ___________________________________________Zip: ____________

Home phone: __________________________ Cell: _____________________________

Work number: _____________________ E-mail________________________________

Prefers to room with and has checked with: ______________________________________

Male: ____ Female: ____ Smoker: ____ Non-Smoker: ____

In Case of Emergency please contact:

Name: _____________________________________ Phone: ______________________

Relationship: ____________________________________________________________

Other emergency information: _______________________________________________

Oak Park Ski Club Trip Policy

I acknowledge that I have read and agreed to the above policy.

Signed: ______________________________________Date:______________________


Membership verified: Yes _______

Payment: $ ______________Check # ___________ Date: ___________________ Initials ____________

Payment: $ ______________Check # ___________ Date: ___________________ Initials ____________

Payment: $ ______________Check # ___________ Date: ___________________ Initials ____________

Payment: $ ______________Check # ___________ Date: ___________________ Initials ____________

Payment: $ ______________Check # ___________ Date: ___________________ Initials ____________