SEA TO SUMMIT APPLICATION FORM (Team Member: Main Contact)
NAME OF SEA TO SUMMIT EVENT:DATE:APPLYING AS:SoloTeam

NUMBER OF PARTICIPANTS

12345T-SHIRT SIZEXSSMLXLACTIVITY ROLE

KayakBike Part 1Bike Part 2Hike

NUMBER OF KAYAKS

12345NUMBER OF BIKES

12345PARENT

SPOUSEFRIENDOTHER

NAME OF INDIVIDUAL or TEAMNAME OF APPLICANT (Main contact)
BIRTHDAY OF APPLICANT (Main contact)
GENDER (Main contact)
ADDRESS AND POSTAL CODE (Main contact)
E-MAIL (Main contact)
TELEPHONE# (Main contact)
MONTBELL CLUB MEMBER’S # (only if applicable)[EMERGENCY CONTACT INFORMATION]
NAME
RELATIONSHIP
TELEPHONE#BRIEF DESCRIPTION INTRODUCING YOURSELF OR TEAM:INVALID WITHOUT SIGNATURE
AGREEMENT
I duly agree with the below:- When the applicant(s) is(are) under age, the signature of a guardian(s) is(are) mandatory.

- Photographies taken by SEA TO SUMMIIT committee may be publicized through Montbell's websites or magazines and promotedby other means.

- Application fee is non-refundable.
Signature(For under age applicants) Guardian’s Signature

SEA TO SUMMIT APPLICATION FORM (Team Member 2)
NAME OF APPLICANTBIRTHDAY OF APPLICANTGENDER
ADDRESS AND POSTAL CODE
E-MAILTELEPHONE# (Main contact)
MONTBELL CLUB MEMBER’S # (only if applicable)
T-SHIRT SIZE

XSSM

L

ACTIVITY ROLE

Kayak

Bike Part 1

Bike Part 2

Hike

PARENTSPOUSEFRIEND

OTHER[EMERGENCY CONTACT INFORMATION]
NAME
RELATIONSHIP
TELEPHONE#INVALID WITHOUT SIGNATURE
AGREEMENT
I duly agree with the below:- When the applicant(s) is(are) under age, the signature of a guardian(s) is(are) mandatory.

- Photographies taken by SEA TO SUMMIIT committee may be publicized through Montbell's websites or magazines and promoted
by other means.

- Application fee is non-refundable.
Signature(For under age applicants) Guardian’s Signature

XL

SEA TO SUMMIT APPLICATION FORM (Team Member 3)
NAME OF APPLICANTBIRTHDAY OF APPLICANTGENDERADDRESS AND POSTAL CODE
E-MAILTELEPHONE# (Main contact)
MONTBELL CLUB MEMBER’S # (only if applicable)
T-SHIRT SIZEXSSM

L

ACTIVITY ROLEKayakBike Part 1

Bike Part 2

HikePARENT

SPOUSEFRIEND

OTHER[EMERGENCY CONTACT INFORMATION]
NAME
RELATIONSHIP
TELEPHONE#INVALID WITHOUT SIGNATURE
AGREEMENT
I duly agree with the below:- When the applicant(s) is(are) under age, the signature of a guardian(s) is(are) mandatory.

- Photographies taken by SEA TO SUMMIIT committee may be publicized through Montbell's websites or magazines and promoted
by other means.

- Application fee is non-refundable.
Signature(For under age applicants) Guardian’s Signature

XLSEA TO SUMMIT APPLICATION FORM (Team Member 4)
NAME OF APPLICANTBIRTHDAY OF APPLICANTGENDER
ADDRESS AND POSTAL CODE
E-MAILTELEPHONE# (Main contact)
MONTBELL CLUB MEMBER’S # (only if applicable)
T-SHIRT SIZEXSSM

L

ACTIVITY ROLE

Kayak

Bike Part 1

Bike Part 2

Hike

PARENT

SPOUSEFRIEND

OTHER[EMERGENCY CONTACT INFORMATION]
NAME
RELATIONSHIP
TELEPHONE#INVALID WITHOUT SIGNATURE
AGREEMENT
I duly agree with the below:- When the applicant(s) is(are) under age, the signature of a guardian(s) is(are) mandatory.

- Photographies taken by SEA TO SUMMIIT committee may be publicized through Montbell's websites or magazines and promotedby other means.

- Application fee is non-refundable.
Signature(For under age applicants) Guardian’s Signature

XL

SEA TO SUMMIT APPLICATION FORM (Team Member 5)
NAME OF APPLICANTBIRTHDAY OF APPLICANTGENDERADDRESS AND POSTAL CODE
E-MAILTELEPHONE# (Main contact)
MONTBELL CLUB MEMBER’S # (only if applicable)
T-SHIRT SIZE

XSSM

L

ACTIVITY ROLE

KayakBike Part 1Bike Part 2Hike

PARENT

SPOUSEFRIENDOTHER[EMERGENCY CONTACT INFORMATION]
NAME
RELATIONSHIP
TELEPHONE#INVALID WITHOUT SIGNATURE
AGREEMENT
I duly agree with the below:- When the applicant(s) is(are) under age, the signature of a guardian(s) is(are) mandatory.

- Photographies taken by SEA TO SUMMIIT committee may be publicized through Montbell's websites or magazines and promoted
by other means.

- Application fee is non-refundable.
Signature(For under age applicants) Guardian’s Signature

XL