PERISHER 2025

Name *

First Name

Last Name

Date of Birth

MM

DD

YYYY

Phone *

(###)

###

####

Do you need ski/boot or snowboard/boot hire? *

Yes

No

Do you need snow jacket and/or pant hire? *

Yes

No

Do you need a lift ticket to Perisher? *

Yes

No

Do you need a helmet or wrist guard hire? *

Yes

No

Would you like to purchase ski/ snowboarding lessons? *

Yes

No

Emergency Contact Phone *

(###)

###

####

Do you agree to the following terms and conditions? *

Yes

No

Do you consent to having your image, video, or voice recorded and used for promotional or media purposes? *

Yes

No