Trinity Episcopal Church, Upperville, VA
Ski Trip Registration Form
Whitetail Ski Resort, PA
Friday, February 21st to Sunday, February 23rd, 2025
Introduction
Our ski trip leaves on 2.21.2025 (after school hours) and returns to Trinty on 2.23.2025 (afternoon).
Charge
o $250.00 per person which includes accommodation, dinner, and day ski pass for 2/22 at Whitetail.
o Booking in advance is required to that Trinity Church can purchase ski passes for each attendee.
o Everyone is responsible for purchasing their own equipment hire (if they do not have their own) - Ski's, boots. helmet, and polls: $64.00 for the day of 2/22. Hire here https://search.app/QvoXLezu6HWaAq8n9
Payment
Registration is considered complete upon submission of registration form and full payment. Payments per person are to be made no later than February 9th, 2025.
Checks to “Trinity Episcopal Church” (mailed to Trinity Episcopal Church, PO Box 127, Upperville, 20185) or payment by Debit/Credit Card* by telephone to the Trinity Church Office on 540-592.3343. *Card payments will incur an additional transaction fee.
Booking Registration form - Please complete all fields.
Details required:
First Name
Middle name(s)
Last Name
BirthDatemm-dd-yyyy
Place of Birth
Country
Yourcontactdetails:
Homeaddress(line1)
Homeaddress(line2) City State Zip
Telephone(Home) –
Telephone(Cell)
Will you be travelling with this cell phone on this trip? Yes / No (Please circle)
E-Mailaddress (pleasewrite clearly) Your emergency contact
details: (Someone who is not also on the trip)
Fullname
Relationship to you (family, friend, etc.)
Homeaddress(line1)
Homeaddress(line2)
Telephone(Home) –
Telephone(Cell)
E-Mail address (please write clearly)
Your medical details: (these will remain confidential to the trip leader and only shared in the event of a medical emergency) Please complete additional fields for each condition or medication. If none please leave blank or strike through.
Condition
Medication
Medicationdosage
Anyotherusefulinformation
Condition
Medication
Medicationdosage
Anyotherusefulinformation
Condition
Medication
Medicationdosage
Anyotherusefulinformation
Condition
Medication
Medicationdosage
Anyotherusefulinformation
Condition
Medication
Medicationdosage
Anyotherusefulinformation
Dietaryneeds:
Pleasespecifyvegetarian,vegan, gluttonfree,ordiabetic requirements,Ifnonepleaseleave blankorstrikethrough.
Dietaryneed1
Dietaryneed2
Dietaryneed3
Dietaryneed4
Allergies:
Pleasespecifyallergyandreaction.
Allergy1: Reaction:
Allergy2: Reaction:
Allergy3: Reaction:
Allergy4: Reaction: HealthInsurance:
Further inquiries to Taylor Robeson, Youth Leader TrinityEpiscopal Church,Upperville,VA.540.592.3343or taylor.robeson22@gmail.com
