2017 Eastern Townships Ski Trip arranged by New Jersey Ski & Snowboard Councll By Signing below, I enroll in the trip to Eastern Townships being offered by the New Jersey Ski and Snowboard Council (NJSSC). I agree to comply with the rules and regulations of Mt. Orford, Owls Head, Mt. Sutton and Manoir Des Sables. Manoir Des Sables has the right to charge me for any damages that I cause within my lodging. I understand that I can be excluded, without refund, at any time if the trip leader deems my conduct to be harmful to the trip. The NJSSC has arranged these travel services through Manoir Des Sables and Mt. Orford, Owls Head, & Mt. Sutton solely as a convenience to NJSSC members and guests. Mt. Orford, Owls Head, Mt. Sutton, Manoir Des Sables and NJSSC cannot predict or guarantee the ski conditions or weather. I acknowledge that only the participants that have signed up and paid for this trip can stay within the accommodations. If any other non-paying guests are invited into my lodging for the purpose of staying within my assigned lodging, I understand that Manoir Des Sables has the right to charge additional monies and / or request that I vacate the accommodations without a refund. I understand that Manoir Des Sables will request a credit card imprint upon arrival for any personal room charges or in case of any damage to the room. Room choices are shown next. Deluxe Room has 1 Queen Bed, 1 sofa bed (Double), fireplace, microwave oven, small refrigerator, sink & coffee maker. Standard Room has 2 Queen Beds, 2 arm chairs, small refrigerator, & coffee maker. If you are not a member of a club belonging to NJSSC, please add $25. Please check which rooming set up you want: Pricing is different for NJSSC Members and Non-Members. Check all that apply & TOTAL YOUR COST. _____ Double in a Room _____ Standard Rm or _____Deluxe Rm $519 _____ Non-Skier: DEDUCT ($125) _____ Triple in a Room _____ Standard Rm or _____Deluxe Rm $465 _____ Adult 4 day Skier (18-64): DEDUCT ($ 29) _____ Quad in a Room _____ Standard Rm or _____Deluxe Rm $437 _____ Senior 5 day Skier (65 plus): DEDUCT ($ 16) _____ Single in a Room _____ Standard Rm or _____Deluxe Rm $707 _____ Senior 4 day Skier (65 plus): DEDUCT ($ 40) _____ Non NJSSC Club-Member, please add $25: $ 25 TOTAL COST PER PARTICIPANT $_______ I am a member of the _______________________________________________Ski Club, which is a member of NJSSC. $100 deposit due immediately. 2nd payment: balance due by November 24, 2016. Checks should be made payable to NJSSC & mailed to Kathy Mancini, 420 Milton Ave., Oceanport, NJ 07757. Written Cancellation/email is required. Cancel by November 24, 2016: $25 penalty. November 25, 2016 - December 13th, 2016: $100 penalty: After December 13th, non- refundable. Questions? 732-222-1530 (Kathy Mancini) OR 908- 406-2933 (Ed Dalton)

RELEASE OF LIABILITY and INDEMNIFICATION AGREEMENT I understand and am aware snow sports (Skiing, snow boarding, etc) are HAZARDOUS activities. I understand that these snow sports, travel to and from the ski area and other activities with the New Jersey Ski & Snowboard Council (NJSSC) involve a risk of injury to all parts of my body. I hereby agree to freely and expressly assume and accept any and all risks of injury or death while participating in snow sports, during travel to and from the ski area, and participation in activities with the NJSSC. This Release is given to the "Released Entities" which include the NJSSC, all officers and directors, all committee persons, trip leaders, and all representatives and members of the NJSSC.I agree that I will release the "Released Entities" from any and all responsibility of liability for injuries or damages to me or to any other person. I agree NOT to make a claim or sue any of the "Released Entities" for damages relating to skiing, snow boarding (snow sports), travel to and from the ski area, and other included activities on this trip, whether it arises from NEGLIGENCE or any other liability arising of the "Released Entities". In the event that a claim is made by or on behalf of me against the “Released Entities,” I agree to indemnify and hold harmless the “Released Entities” for any and all losses, including damages, interest and all costs of defense, including attorney fees and other costs. I have carefully read this agreement and release of liability and fully understand its contents. I am aware that this is a release of liability and a contract between me and the New Jersey Ski & Snowboard Council which benefits all of the "Released Entities". (DOES NOT HAVE TO BE NOTARIZED) Signature of Participant ________________________________________________________

Date__________________________

Print Name of Participant ________________________________________________________

Signature of Witness

________________________________________________________

Date__________________________

Print Name of Witness ________________________________________________________

Address of Trip Participant _____________________________________________________

Day/Cell Telephone #: ________________________________

___________________________________________________________________________

Evening/Cell Phone #: _______________________________

Email of Participant _________________________________________________________________________________________________write legibly) Name of Roommate(s) @ Manior Des Sables (please print) ________________________________________________________________________________ In case of emergency, please call (primary contact) ________________________________________________________________________________ Day Phone #

_______________________________________________

Cell Phone # ___________________________________________

In case of emergency, please call (secondary contact) ________________________________________________________________________________ Day Phone #

_______________________________________________

Cell Phone # ___________________________________________

2017 NJSSC Eastern Townships Res Form (1).pdf

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