Please complete the fields below to join SKI BUMS for the 2009 season. All fields marked with an asterisk are required.

Name * First Last
Primary email address *

Important: Please provide the e-mail address that you check most often. We use email to notify trip participants about inclement weather, payment deadlines, etc. You'll want to receive these updates if you've signed up for a trip.
Additional email address (optional)

Some members prefer for us to contact them at their work email address during weekdays. If you have an alternative email that you can check more easily during the day, enter it here.
Street address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Cell phone * - (###) - ### ####
We contact our members via cell phone when inclement weather leads to a change in our travel plans, and we use SMS text-messaging to notify trip participants if there's a change in the itinerary due to weather conditions.
Additional phone (optional) - (###) - ### ####
If you've got a home or work number that you'd like us to have, provide it here.
In case of medical emergency while traveling with SKI BUMS, please provide the following information.
Birthdate * / MM / DD YYYY
Gender
Emergency contact name(s) *

Note: This should NOT be another SKI BUMS member. If you're traveling together on a trip, we'll need someone else to contact in the case of emergency.
Emergency contact number(s) *

Provide as many numbers as you like.