Trip Signup Form


PSC 2017 - 2018 Trip Schedule


Deposit Must Be Mailed to Secure Your Reservation
The Trip Signup Form is sent directly to the trip leader. It is the fastest way to reserve space. The trip leader will hold your space provisionally, until he or she receives your deposit. The trip leader's mailing address is provided at the end of the Signup Form. It is also listed in the Trip Details and the Taos Trip Flyer (PDF).

When the trip leader receives your deposit, he or she will contact you to confirm your registration.

Be sure to read the General Trip Information and Trip Signup Policies before signing up for a trip.

If you have trouble submitting the online signup form you can instead download the manual Trip Reservation Form (.pdf - 29k) and mail it to the trip leader with your deposit.

NOTE: Mac users should turn off the Autofill option in their Safari browsers before starting to enter data on the signup form. Otherwise, the form might think you're signing up additional skiers and require you to enter data for them.

TAOS - Reservation Form
TRIP: Taos, New Mexico

Trip Dates: Mar 17 - Mar 24, 2018
Cost per Person: $1715
Select a Different Trip
PRIMARY SKIER INFORMATION  
*Required fields are marked with an asterisk  
Each person must be a member of the Pentagon Ski Club or a family member of a person holding a Family Membership.
*Membership Type:
Individual Membership
Family Membership
Individual Membership Applicant
Family Membership Applicant
Member of other BRSC club (specify in comments)

See How to Join for an application form and details. You can mail the application and membership fee to the trip leader together with your deposit, but please write separate checks.
Membership Number:

Expiration Date: (mm/yyyy)

Names are used to purchase airline tickets and must exactly match your name as it appears on your passport (for foreign trips) or on the Photo ID you will use at the airport (for domestic trips)— including your full middle name (or just your middle initial, if that's what's on your passport or photo ID). .
*Sex: Male Female
*First Name:

*Middle Name(s) or Initial: Must exactly match photo ID. If no middle name, enter None

*Last Name:

*Street Address:

*City:

*State:

*Zip Code:
Home Phone: (111-111-1111)
Work Phone: (111-111-1111)
Cell Phone: (111-111-1111)
 
 
 
 
 
We need your date of birth for TSA's Secure Flight Program. Your age also determines eligibility for junior or senior lift ticket (if available) and to help match roommates.
*Date of Birth:  Day Year
Provide an email address so that the Trip Leader can contact you. If you don't have an email address, enter NONE.
*Main Email Address:
Alternate Email Address:
*Confirm Main Email Address:
PRIMARY SKIER - SKI TRIP OPTIONS
*Preferred Lodging
Select Double Occupancy if you are a single, but want us to try to match you with a roommate. Single rooms might not be available on all trips.
Single Room (one person to a room - surcharge normally applies)
Double Occupancy (two persons to a room)
Other (explain in comments below)
Comments:
PRIMARY SKIER - PERSONAL INFORMATION  
Preferred name (e.g., Bob instead of Robert):
 
Skiing Ability: Beginner Intermediate Advanced Bring it on!
Interests: Racing Cross-Country Non-Skier (i.e., no lift tickets)
Do you think you will: Take lessons? Rent equipment?
*SKIER 1 EMERGENCY NOTIFICATION
Someone not on the trip with you. One phone number is required.
*Name:

*Relationship:
Home Phone: (111-111-1111)

Work Phone: (111-111-1111)

Cell Phone: (111-111-1111)
 
   
2ND SKIER INFORMATION — don't enter any information unless you're signing up a 2nd skier  
*Required fields are marked with an asterisk  

*Membership Type:
Use Primary Skier's Membership Info
Individual Membership
Individual or Family Membership Applicant
Member of other BRSC club (specify in comments)

See How to Join for an application form and details. You can mail the application and membership fee to the trip leader together with your deposit, but please write separate checks.

Membership Number:

Expiration Date: (mm/yyyy)
*Sex: Male Female
*First Name:

*Middle Name(s) or Initial: If no middle name, enter None

*Last Name:
Home Phone: (111-111-1111)

Work Phone: (111-111-1111)

Cell Phone: (111-111-1111)
Email address:
We need your date of birth for TSA's Secure Flight Program. Your age also determines eligibility for junior or senior lift ticket (if available) and to help match roommates.
*Date of Birth: Month  Day Year
*Preferred Bed Configuration
The Primary Skier and Second Skier normally share the same room. However, the Primary Skier and Second Skier may be parent and child or two friends, who require separate beds. Explain any special requirements in the comments below.
Share a bed with Primary Skier (double bed, queen or king bed)
Same room, separate beds
Other (explain in comments below)
Comments:
SKIER 2 PERSONAL INFORMATION  
Preferred name (e.g., Bob instead of Robert):
 
Skiing Ability: Beginner Intermediate Advanced Bring it on!
Interests: Racing Cross-Country Non-Skier (i.e., no lift tickets)
Do you think you will: Take lessons? Rent equipment?
*SKIER 2 EMERGENCY NOTIFICATION
Someone not on the trip with you. One phone number is required.
Emergency Information is same as for Primary Skier
*Name:

*Relationship:
Home Phone: (111-111-1111)

Work Phone: (111-111-1111)


Cell Phone: (111-111-1111)
 
3RD SKIER INFORMATION — don't enter any information unless you're signing up a 3rd skier  
*Required fields are marked with an asterisk  

*Membership Type:
Use Primary Skier's Membership Info
Individual Membership
Individual or Family Membership Applicant
Member of other BRSC club (specify in comments)

See How to Join for an application form and details. You can mail the application and membership fee to the trip leader together with your deposit, but please write separate checks.

Membership Number:

Expiration Date: (mm/yyyy)
*Sex: Male Female
*First Name:

*Middle Name(s) or Initial: If no middle name, enter None

*Last Name:
 
 
 
Email address:
We need your date of birth for TSA's Secure Flight Program. Your age also determines eligibility for junior or senior lift ticket (if available) and to help match roommates.
*Date of Birth:
Month  Day Year
Provide lodging preferences (single or double bed ) and special requests in the general comments box at the end of the form.
SKIER 3 PERSONAL INFORMATION  
Preferred name (e.g., Bob instead of Robert):
 
Skiing Ability: Beginner Intermediate Advanced Bring it on!
Interests: Racing Cross-Country Non-Skier (i.e., no lift tickets)
Do you think you will: Take lessons? Rent equipment?
*SKIER 3 EMERGENCY NOTIFICATION
Someone not on the trip with you. One phone number is required.
Emergency Information is same as for Primary Skier
*Name:

*Relationship:

Home Phone: (111-111-1111)

Work Phone: (111-111-1111)

Cell Phone: (111-111-1111)
 
4TH SKIER INFORMATION — don't enter any information unless you're signing up a 4th skier  
*Required fields are marked with an asterisk  

*Membership Type:
Use Primary Skier's Membership Info
Individual Membership
Individual or Family Membership Applicant
Member of other BRSC club (specify in comments)

See How to Join for an application form and details. You can mail the application and membership fee to the trip leader together with your deposit, but please write separate checks.

Membership Number:

Expiration Date: (mm/yyyy)
*Sex: Male Female
*First Name:

*Middle Name(s) or Initial: If no middle name, enter None

*Last Name:
 
 
 
Email address:
We need your date of birth for TSA's Secure Flight Program. Your age also determines eligibility for junior or senior lift ticket (if available) and to help match roommates.
*Date of Birth: Month  Day Year
Provide lodging preferences (single or double bed) and special requests in the general comments box at the end of the form.
SKIER 4 PERSONAL INFORMATION  
Preferred name (e.g., Bob instead of Robert):
 
Skiing Ability: Beginner Intermediate Advanced Bring it on!
Interests: Racing Cross-Country Non-Skier (i.e., no lift tickets)
Do you think you will: Take lessons? Rent equipment?
*SKIER 4 EMERGENCY NOTIFICATION
Someone not on the trip with you. One phone number is required.
Emergency Information is same as for Primary Skier
*Name:

*Relationship:
Home Phone: (111-111-1111)

Work Phone: (111-111-1111)

Cell Phone: (111-111-1111)
 
General Comments  
General Comments:
Member of another BRSC ski club (please tell us which one)? Frequent flier number(s)? Preferred bed configuration for Skiers 3 & 4? For those living outside the greater Washington DC/Baltimore area, do you need to fly from a different airport than the group, or will you fly with the group? Any special needs (e.g., dietary, medical or mobility issues)?
Your reservation is not confirmed until we receive and acknowledge your deposit.

Please make your check payable to the Pentagon Ski Club and mail it to the Trip Leader:
Lucy Gruenther
507 Blue Ridge Ave NE, Leesburg, VA 20176

For more information about the trip see the Trip Details and the Taos Trip Flyer (PDF)
*I have read and agree to the Trip Signup Policies including specifically the Payment Policies and Disclaimer of Liability.
When you Submit, a Confirmation will display to confirm that your reservation was submitted successfully. Otherwise, the Signup Form redisplays with errors. If you cannot successfully submit your reservation, contact Dave Olsen.

       
                 
For issues or comments about the PSC Website, contact the webmaster@pentagonskiclub.