Snowsports Lesson Evaluation Form
Student Information
Student Name
*
First Name
Last Name
Lesson Date & Time:
*
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Month
/
Day
Year
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Hour
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55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Day of Week
Disability
*
Who Accompanied the Athlete (Family, Friends, Caregivers, etc) ? Please list ALL:
*
This information is very important for grant reporting.
Did they:
*
Ski
Snowboard
Shadow
N/A
Environment
Lead Coach:
*
First Name
Last Name
Second Coach:
First Name
Last Name
Additional Coaches:
List all other coaches on lesson.
Weather Conditions:
*
Sunny
Cloudy
Snow
Rain
Other
Snow Conditions:
*
Powder
Packed Powder
Granular
Hard
Ice
Slush
Groomed
Variable
Lesson Goals:
*
Adaptive Equipment Used: (leave blank if none)
Adaptive Equipment Used:
*
Dynamique NRG Seat (Turq)
Dynamique Reg Seat (Bluebird)
Monique #1
Monique #2
Mountain Man
BiUnique - Adult
BiUnique - Junior (Black)
BiUnique - Kids (Red)
Tessier SnowKart
ET Slider - Junior
Freedom Factory Slider - Adult
Stand Up Outriggers
Bi-Ski Outriggers
Mono -Ski Outriggers
Stand Up Tethering
None Needed
Other
Adaptive Equipment Used:
*
Other
What seat size:
*
(Example: Medium Outriggers with length set to fourth hole from bottom.)
What Fixed Outrigger Setting:
*
(Example: Medium Outriggers with length set to fourth hole from bottom.)
What Hand Held Outrigger settings:
*
(Example: Medium Outriggers with length set to fourth hole from bottom.)
What other settings used/information about set up:
*
(Example: Medium Outriggers with length set to fourth hole from bottom.)
What leg setting - adult or kid, other settings required:
*
(Example: Medium Outriggers with length set to fourth hole from bottom.)
Ski/Snowboard Equipment:
*
Own
Rent
Any Equipment Issues?
*
Adjustments:
Equipment Recommendations for Next Lesson:
Lifts Used:
*
Small Carpet
Large Carpet
Sunnyside
Lift 1
Lift 2
Trails Used:
*
🟢 Puffin Pen
🟢 Little Joe
🟢 Sensation
🟢 Big Bend
🟢 Loop
🟢 Tom's Treat
🟢 Papoose
🟢 Over Easy
🟢 Panhandle
🟦 Sno'Way
🟦 Canyon Run
🟦 Nor'Easter
♦️ Temptor
♦️ Stinger
♦️ Gunbarrel
♦️♦️Satan's Stairway
Student Assist On Hill:
*
None
Partial
Total (Note below)
Student Assist On Lift:
*
None
Partial
Total (Note below)
Student Assist Notes
Please provide detail if assist needed
Athlete Analysis
Student Communication:
*
Excellent
Good
Fairly Good
Fairly Poor
Poor
Skiing Level
*
N/A (Snowboard/Sit Ski)
Straight Run
Wedge
Wedge Turns
Parallel
Intermediate
Advanced
Riding Level
*
N/A (Skier/Sit Ski)
Sliding on Flats
J-Turns
Sideslipping
Garland
Falling Leaf
Skidded Turns
Linked Turns
Dynamic Turns
Carving
Sit Ski Level
*
N/A (Ski/Snowboard)
Fully Tethered
Lean to Turn
Hand Held Outriggers to Turn
Mostly Independent
Fully Independent
Two Coaches Preferred?
*
Yes
No
Notes:
Please provide detail if two coaches required.
Coaches Tools
What skill(s) did you work on?
*
What progressions, exercises, or games did you use
*
Were any behavioral / emotional issues present? What irritates the athlete
*
Any rewards used?
Lesson Comments:
*
Additional suggestions which may be helpful in future lessons:
Name of person submitting evaluation:
*
First Name
Last Name
Date of evaluation:
*
/
Month
/
Day
Year
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