2013–14 SPECIAL Fifth Grade THANKS TO: PASSPORT APPLICATION

The Ski Utah Fifth Grade Passport is the best way for you to Richard E. and Nancy P. experience The Greatest Snow Marriott on Earth®. The Passport allows Foundation you to ski or snowboard three days FREE* at each of Utah’s 14 participating resorts.

The Passport not only provides three days of skiing or snowboarding at each Utah resort, but also includes special deals on equipment rentals, lessons and other activities. To access daily snow reports, special deals, events, activities and a whole lot more, log FIFTH& on to SkiUtah.com. If you have questions about the Passport, call 801-534-1779 or GRADE email [email protected]. Apply now! *$30 processing fee ($40 after Jan. 31, 2014)

Like Ski Utah on Facebook The Passport is accepted at the following resorts. > Alta Ski Area > Beaver Mountain > Brian Head Resort > Brighton Resort > Canyons Resort > Deer Valley Resort > Eagle Point Resort > Park City Mountain Resort > Powder Mountain Resort > Snowbasin Resort > Snowbird Ski and Summer Resort > Solitude Mountain Resort > Sundance Mountain Resort > Wolf Mountain Resort

*$40 after Jan. 31, 2014 Passports will be mailed beginning November, 2013. The Passport is valid during the 2013–14 ski season except some blackout dates at individual resorts. Allow 2-3 weeks for delivery of the 5th Grade Passport. For faster processing, register online skiutah.com/passport

Ski Utah Fifth Grade Passport Application:

1. Complete the application below. Paper clip photo to application 2. Read the rules and regulations and sign the consent form on the application. 2” 3. Have your mother, father or guardian read and sign the consent form on the application. 4. Include a recent 2" x 2" photo (color or black and white) of yourself to be used in your Passport. Paper clip (do not glue) photo to the application. Note: This photo will not be returned. 5. PRINT YOUR NAME ON THE BACK OF THE PHOTO IN INK! 6. Pay by Credit Card or Include a check or money order for $30.00 made payable 2” to Ski Utah ($40 after Jan. 31, 2014) 7. Send the completed application, check or money order for $30.00, ($40 after Jan. 31, 2014) and photo to: Ski Utah Fifth Grade Passport, 150 West 500 South, Salt Lake City, Utah 84101

Parent/Gaurdian's first name:______Parent/Gaurdian's last name:______Parent/Gaurdian's phone number:______Parent/Gaurdian's email:______Mail Passport to address:______City:______State:______Zip:______Student's first name:______Student's last name:______Student's school:______Student's school district:______Teacher's last name:______Student's date of birth:______

Check All That Apply: 1. Gender: q Boy q Girl 2. Are you a q skier or a q snowboarder q both 3. What is thestudent's skiing/snowboarding ability? q never skied/snowboarded before q beginner q intermediate q advanced 4. Is there an adult in your household that skis/snowboards? q Yes q No 5. Do you expect to rent equipment this year? q Yes q No 6. Did the student ski or snowboard last winter? q Yes q No 7. How did you hear about the program? (check all that apply) q School q Internet q Newspaper/Magazine q TV q Friend q Family Member q Radio q Other 8. Age of the parent/gaurdian completing this form? ______

We fully understand the terms of the 5th Grade Ski and Snowboard Passport Program Agreement and agree to comply with all the rules and regulations set forth in the instructions. We understand that any misuse of the Passport or lift ticket obtained with the Passport will result in revocation of the Passport. By acceptance of the Passport, we agree that Ski Utah, Ski Utah’s participating resorts, and Ski Utah’s 5th Grade Passport Program partners and sponsors and their respective subsidiaries, affiliates, directors, officers, employees or agents have no liability whatsoever for injuries, losses or damages of any kind caused by the Passport or resulting from application for or acceptance, possession or use of the Passport. Signature of Applicant:______date:______Signature of Parent or Legal Guardian:______date:______q If you are NOT interested in receiving information on resort specials from Ski Utah or our member resorts, please check here.

Please complete if paying by credit card Credit Card Number:______(Circle one) Visa / MasterCard / American Express Name exactly as it appears on card:______Expiration Date:______Three digit security number:______Card Holder Signature:______Date:______Card Holder Billing Address:______

Rules and regulations available online, skiutah.com/passport