2015/16
Name_______________________________________Address_____________________________________
City________________________________________________________State_________ Zip____________
Mobile______________________________________ Home______________________________________
Email_____________________________________________________
2015/16 Season Pass Prices (offer ends 05/15/15) ( proof of age as of 12/01/15)
Child 5 and younger $125
FIRST NAME
PRICE
Payment:
LAST NAME
VISA
MASTERCARD
Junior 6-13 $275
DATE OF BIRTH
DISCOVER
14-64 $300
AGE
CHECK#_____
Senior $199
PASS TYPE
CASH $______
Credit Card #__________________________________________________Code_______ Expiration Date_________
Cardholder’s Name_______________________________ Signature_______________________________________
Terms and Conditions
Please read carefully before completing and signing.
1.
2.
3.
4.
5.
I acknowledge that skiing and snowboarding, like many other sports, contain inherent risks including but not limited to the risks of personal injury,
death or property damage which may be caused by variations in terrain or weather conditions, surface or sub-surface snow, ice, bare spots or areas of
thin cover, ruts, bumps, jumps, other persons using the facilities, rocks, forest growth, debris, branches, trees, roots, stumps or other natural objects or
man-made objects that are incidental to the provision and/or maintenance of a snowsports facility in the state of Massachusetts. In this regard, I agree
to be bound by the provisions of Mass. G. L., Ch143, Sec 71P as applicable.
2. I understand that in purchasing this season on-mountain pass that it will be issued to the participant named herein and is valid for the 2015/16 winter
season. I understand that a $50 fee will be levied in respect of a replacement pass after a 10 day period.
3. I understand that the participant’s on-mountain privileges may be revoked for one vandalism, theft or destruction of property owned by Bousquet or
others. B. use or sale of prohibited or restricted substances or alcohol on the Bousquet property. C. Selling, transferring or loaning of an on-mountain
pass of any description. D. Reckless behavior of any description on or off the mountain. E. Entering or using closed trails and areas f. Misuse of onmountain lifts or g. Misuse of the on-mountain permit..
I hereby certify that all information submitted on this forms true and correct to the best of my knowledge and belief.
5. I have read and understand the Terms and Conditions relative to the issue and use of this pass and agree to the bound by same.
_____________________________________________________________________________________________________________________________________
Signature of Applicant (parent/legal guardian if under 18) Print Name Date