Winterplace Ski Resort

Please fill in the following form

Ski/Snowboard Date*

Arrival Time (Approx)*

First Name*

Middle Initial

Last Name*

Address*

City*

State*

Zip*

Email*

Phone (Digits only)*

Group Name

Weight - lbs*

Height*

Feet

Inches

Age*

Shoe Size*

Please Indicate Your Activity*

Skiing Snowboarding

Select Skier Type*

Beginner Intermediate Advanced

Select Stance*

Left Foot Fwd Right Foot Fwd

Total Rental Days*

Equipment Damage Insurance ($1.00 per day)*

Yes No

This equipment damage insurance applies to equipment damage only, not lost, misplaced, or stolen equipment. If the equipment damage insurance is accepted, the rental facility will absorb the cost of repairing any damaged equipment; however, any lost, neglected, abused, misplaced, or stolen equipment shall be replaced by the renter.

Equipment User's Signature

Draw It
Clear

Parent/Guardian Signature
(if required, please click "Draw It")

Draw It
Clear

Cardholder Signature

Draw It
Clear

Please print both pages, you MUST BRING BOTH pages of the Rental Form to Winterplace.

The rental staff does not have access to this form, you MUST bring it with you.