Parent's First Name

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* 1. Parent's First Name

Parent's Last Name

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* 2. Parent's Last Name

Full Address (Please confirm Vermont residency.)

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* 3. Full Address (Please confirm Vermont residency.)

Email Address (Enter valid email to receive the discount code.)

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* 4. Email Address (Enter valid email to receive the discount code.)

Phone Number

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* 5. Phone Number

Number of children receiving learn-to package discount (Please note: resort have specific age parameters, some are only for 14 years old and up.  View age parameters here: http://skivermont.com/take-3. Participating resorts include Bolton Valley, Burke Mountain, Jay Peak Resort, Killington Resort, Magic Mountain, Mount Snow Resort, Okemo Mountain Resort, Pico Mountain, Smugglers' Notch Resort, Stratton Mountain Resort and Sugarbush Resort.)

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* 6. Number of children receiving learn-to package discount (Please note: resort have specific age parameters, some are only for 14 years old and up.  View age parameters here: http://skivermont.com/take-3. Participating resorts include Bolton Valley, Burke Mountain, Jay Peak Resort, Killington Resort, Magic Mountain, Mount Snow Resort, Okemo Mountain Resort, Pico Mountain, Smugglers' Notch Resort, Stratton Mountain Resort and Sugarbush Resort.)

Child #1: Enter first and last name, age, and school for first child.

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* 7. Child #1: Enter first and last name, age, and school for first child.

Child #2: Enter first and last name, age, and school for second child.

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* 8. Child #2: Enter first and last name, age, and school for second child.

Child #3: Enter first and last name, age, and school for third child.

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* 9. Child #3: Enter first and last name, age, and school for third child.

Child #4: Enter first and last name, age, and school for fourth child.

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* 10. Child #4: Enter first and last name, age, and school for fourth child.

Child #5: Enter first and last name, age, and school for fifth child.

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* 11. Child #5: Enter first and last name, age, and school for fifth child.

Thank you for filling out this survey.  We will review your information and send coupon codes within a few days of submission. You will then be instructed to purchase the Take 3 beginner package(s) at www.skivermont.com/take-3. Please note that only 125 beginner packages are available for purchase and they are sold on a first come first serve basis.

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