Use the Trip Payment Form below to make a deposit for Jackson Hole, Wyoming – 2025 2025 Trip – Jackson Hole Deposit Form "*" indicates required fields Name* First Last Phone*Email* Jackson Hole Deposit (per person) Quantity Price: $200.00 Quantity Deposits for trips are non-refundable unless the trip is cancelledAre you interested in sharing a room?*YesNoDo you know who your roomate/roommates are?Yes, I'm paying for both of our deposits at this timeYes, but they are paying for themself seperatelyNo, I would like to be paired up by the trip leaderPlease list your roommates that will be signing up seperately. Seperate names by a comma please. Trip ParticipantsNumber of participants that a deposit is being made for at this time:*12345Person 1 Name* Please use your full legal namePerson 1 Age*Please enter a number from 0 to 100.Person 1 Phone*Person 1 Email* Person 2 Name* Please use your full legal namePerson 2 Age*Please enter a number from 0 to 100.Person 2 PhonePerson 2 Email Person 3 Name* Please use your full legal namePerson 3 Age*Please enter a number from 0 to 100.Person 3 PhonePerson 3 Email Person 4 Name* Please use your full legal namePerson 4 Age*Please enter a number from 0 to 100.Person 4 PhonePerson 4 Email Person 5 Name* Person 5 Age*Please enter a number from 0 to 100.Person 5 PhonePerson 5 Email Payment DetailsTotal Credit Card*Card Details Cardholder Name Credit Card Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Electronic Waiver* I consentI state that I wish to participate in courses and/or activities offered by SKIBACS, a Boeing Recreation Club. I recognize that any SKIBACS activities may involve certain dangers. I certify that I am aware of the inherent dangers snow skiing (downhill and cross-country), including but not limited to falls due to ice, inexperience, or snow or terrain conditions, racing, racing in remote locations, accidents or illness in remote areas without medical facilities, vehicle shuttling, the forces of nature, and the actions of participants and other persons. In consideration for the right to participate in SKIBACS activities, I hereby release SKIBACS and its instructors and members, and The Boeing Company from any and all liability, claims, and causes of action arising out of or in any way connected with my participation in any SKIBACS activities. I personally assume all risks in connection with these activities, and further agree to indemnity SKIBACS and it’s members and instructors, and The Boeing Company from all liability, claims, and causes of action which I may have arising from my participation in club activities. The terms if this agreement will serve as release and indemnity agreement for my heirs, personal representative, and all members of my family, including minors. Parent or legal guardian must sign for all persons under eighteen years of age. I have fully informed myself of the contents of this release and indemnity by reading it before I sign it. Form must be signed by each participant, or parent or legal guardian, if under 18.Type your full name SignatureSign with mouse or touch screen