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Name M or F Age Birth Date Address City State and Zip Phone home Phone cell Room Preference single double triple quad other Roommate s Requested Special Requests I am a member of the Champaign Ski Club Inc. and I acknowledge the Release of Liability for trips as outlined on my membership application. Signature Date Deposit Received Please print clearly Email 1 by check cash. Trip Application Fill out completely and turn in to trip leader Trip Name Please print the names of all Participants...
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