MNC Masters Registration - Winter '24/'25

MNC Master - Winter Registration '24/'25

Each participant must complete this form
Membership ID*
Please enter your MNC Membership ID received by e-mail.
Each season you need a NEW MNC Membership ID:
- If you don't have a '24/'25 MNC Membership ID, click here
- If you lost or forgot your '24/'25 Membership ID, please e-mail info@mansfieldnordic.org
Skier Information
Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area Codeex: 333-3333
E-mail*
ex: myname@example.com
Emergency Contact*
Emergency Contact Phone*

Area CodePhone Number
Training Goals Survey

Please answer to help guide our training and coaching group structure

Weekend Racing*

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Ski Intervals "high intensity skiing"*

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Improving Ski Technique*

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Maintain Fitness for other Sports*

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Socializing & Meeting People *

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Skier Experience Survey

Please answer to help us assess your ski ability
How many seasons have you trained with MNC*

1st season1-2>2
Prior Season Training Group*

Black (Most Experienced)BlueWhiteGreen (Least Experienced)Not Applicable
Skate Technique Years of Experience*

0-23-56-10>10
Classic Technique Years of Experience*

0-23-56-10>10
Typical Weekly Fitness Training*

1-2 days / week2-4 days / week4+ days / week
Payment Section
PAYMENT NOTICE

Coaching and Training price increases by $25 on November 15

My Products*

Early Session (4-5:30PM) Training$374.00

@ Camp Ethan Allen Training Site ("The Range") in Jericho

Late Session (6-7:30PM) Training$374.00

@ Camp Ethan Allen Training Site ("The Range") in Jericho

Enter coupon

Total $0.00

MNC Release and Indemnification
EMERGENCY RELEASE AUTHORIZATION: Completion of this section serves as consent for medical treatment for the named athlete in the case of a medical emergency and/or in the case of other timely medical care if the attending physician and the MNC team coaches are unable to contact the consenting parent or guardian, or if the athlete of majority age is unable to consent at the time.*
Participant full name
In consideration of the offer of the Mansfield Nordic Club (MNC) to provide supervised skiing, skiing instruction, off season training and competitive skiing opportunities, I do hereby agree to indemnify and hold harmless MNC, its members, supervisors, instructors, agents and representatives, whether paid or unpaid by MNC, from any and all liability whatsoever for any loss, injury or death to myself or my child or by any third party as a result of my own or my child’s participation whether during instruction, practice training, competition, or while otherwise engaged in ski activities under the direction and supervision of MNC.*
Participant full name

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

MNC Master - Winter Registration '24/'25