Ski Mounting Form

Name*

First NameLast Name
Phone*
Address*

Street Address

CityState / Province

Postal / Zip Code
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Weight*
Weight is in pounds (lbs)
Your Height*
Height is in feet and inches (ft. in.)
Your Age*
Skier Type*

Type I - Entry level skier uncertain about their classificationType II - Skier will ski on varied terrains and explores different parts of the mountain. If a skier cannot decide that they are a 1 or 3, they are a 2.Type III - Skier prefers faster speeds and skis aggressive on slopes of moderate to steep pitch.Type -I - Skiers who desire lower release/retention settings that type I. This will further increase the risk of inadvertent binding release but will gain increased releasability in a fall.Type III+ - Skiers who desire higher release/retention settings than that of a type III. This will further decrease releasability in a fall but will gain a decreased risk of inadvertent binding release.
ACKNOWLEDGMENT OF PERSONAL INFORMATION, EQUIPMENT INSTRUCTIONS & LIABILITY RELEASE AGREEMENT

I have accurately represented the above listed information and it is true and correct. I will not use any of my equipment until I have received instruction on its use and I fully understand its use and function (including receipt of accompanying manufacturer's instruction pamphlet(s) for new equipment). I agree to verify that the visual indicator settings to be recorded on this form for downhill ski equipment, and skiboards equipped with release bindings, agree with the numbers appearing in the visual indicator windows of the equipment to be listed on this form. I agree to read and execute the LIABILITY RELEASE AGREEMENT ON THE BACK OF THIS FORM.
Signature*

Clear

Boot sizing (Fill in if boot is not present for mount)

This section is reserved for customers who already own their ski boots and the boots will not be present for the mounting process (i.e. you don't live near the shop and will not be able to bring your boot in for mounting).
Boot Model (Brand & Model Name)
Boot Sole Length (Length is embossed on the Outside of the shell of the boot, near the heel, and is listed in ‘mm’ i.e. 306mm

Cost

Our pricing is broken down into tiers and is as follows.
If you purchased:

Skis & Bindings (including integrated bindings) - $29.95

Skis & Bindings & Boots - Free
Select the one that applies to you.*

LIABILITY RELEASE AGREEMENT

PLEASE READ CAREFULLY BEFORE SIGNING
I understand that the binding system cannot guarantee the user's safety. In downhill skiing, and skiboarding with skiboards equipped with release bindings, this binding system will not release at all times or under all circumstances where release may prevent injury or death, nor is it possible to predict every situation in which it will release. In snowboarding, cross-country skiing, skiboarding with skiboards equipped with non-release bindings, snowshoeing and other sports utilizing equipment with non-release bindings, the binding system will not ordinarily release during use; these bindings are not designed to relate as a result of forces generated during ordinary operation.

I understand that the sports of skiing, snowboarding, skiboarding, snowshoeing and other sports (collectively "RECREATIONAL SNOW SPORTS") involve inherent and other risks of INJURY and DEATH. I voluntarily agree to expressly assume all risks of injury or death that may result from these RECREATIONAL SNOW SPORTS, or which relate in any way to the use of this equipment.

I understand that a helmet designed for RECREATIONAL SNOW SPORTS use will help reduce risk of some types of injuries to the user at slower speeds. I recognize that serious injury or death can result from both low and high energy impacts, even when a helmet is worn.

I AGREE TO RELEASE AND HOLD HARMLESS the facility servicing this equipment, its employees, owners, affiliates, agents, officers, directors, and the equipment manufacturers and distributors and their successors in interest (collectively "PROVIDERS"), from all liability for injury, death, property loss and damage which results from the equipment user’s participation in the RECREATIONAL SNOW SPORTS for which the equipment is provided, or which is related in any way to the use of this equipment, including all liability which results from the NEGLIGENCE of PROVIDERS, or any other person or cause.

I further agree to defend and indemnify PROVIDERS for any loss or damage, including any that results from claims or lawsuits for personal injury, death and property loss and damage in any way to the use of this equipment.

This agreement is governed by the applicable law of this state or province. If any provision of this agreement is determined to be unenforceable, all other provisions shall be given full force and effect.
I, the undersigned have read and understood the terms of this liability release agreement.
EQUIPMENT USER'S SIGNATURE*

Clear
Date*

MonthDayYear
Should be Empty:

ACKNOWLEDGMENT OF PERSONAL INFORMATION, EQUIPMENT INSTRUCTIONS & LIABILITY RELEASE AGREEMENT

Boot sizing (Fill in if boot is not present for mount)

Cost

LIABILITY RELEASE AGREEMENT