SnowBound
Ski & Snowboard Club Registration Form
Name (Child 1)
*
First Name
Last Name
Birthday (Child 1) - the SnowBound program is designed for ages 7-12; however, exceptions are possible upon request
*
-
Month
-
Day
Year
Date
Ski or Snowboard (Child 1)
*
Ski
Snowboard
Level (Child 1)
*
New
Beginner
Intermediate (Comfortable on blue squares, not black diamonds)
Expert (Comfortable on black diamonds)
Program (Child 1)
*
Wednesdays & Sundays - 9 Trip Program (Dates Below)
Wednesdays Only - 5 Trip Program (1/7, 1/14, 1/28, 2/11, and 2/25)
Sundays Only - 4 Trip Program (1/4, 1/11, 2/1, 2/22)
Pick-up / Drop-off School (Child 1) - If you select "Other", please enter the school name and town. Offering additional locations for pick-up/drop-off will be subject to review & approval
*
Allen W. Roberts Elementary School
Kent Place School (Primary School)
Other
Any allergies or medical information we should be aware of? (Child 1)
*
Name (Child 2)
First Name
Last Name
Birthday (Child 2) - the SnowBound program is designed for ages 7-12; however, exceptions are possible upon request
-
Month
-
Day
Year
Date
Ski or Snowboard (Child 2)
Ski
Snowboard
Level (Child 2)
New
Beginner
Intermediate (Comfortable on blue squares, not black diamonds)
Expert (Comfortable on black diamonds)
Program (Child 2)
Wednesdays & Sundays - 9 Trip Program (Dates Below)
Wednesdays Only - 5 Trip Program (1/7, 1/14, 1/28, 2/11, 2/25)
Sundays Only - 4 Trip Program (1/4, 1/11, 2/1, 2/22)
Pick-up / Drop-off School (Child 2) - If you select "Other", please enter the school name and town. Offering additional locations for pick-up/drop-off will be subject to review & approval
Allen W. Roberts Elementary School
Kent Place School (Primary School)
Other
Any allergies or medical information we should be aware of? (Child 2)
Name (Child 3)
First Name
Last Name
Birthday (Child 3) - the SnowBound program is designed for ages 7-12; however, exceptions are possible upon request
-
Month
-
Day
Year
Date
Ski or Snowboard (Child 3)
Ski
Snowboard
Level (Child 3)
New
Beginner
Intermediate (Comfortable on blue squares, not black diamonds)
Expert (Comfortable on black diamonds)
Program (Child 3)
Wednesdays & Sundays - 9 Trip Program (Dates Below)
Wednesdays Only - 5 Trip Program (1/7, 1/14, 1/28, 2/11, 2/25)
Sundays Only - 4 Trip Program (1/4, 1/11, 2/1, 2/22)
Pick-up / Drop-off School (Child 3) - If you select "Other", please enter the school name and town. Offering additional locations for pick-up/drop-off will be subject to review & approval
Allen W. Roberts Elementary School
Kent Place School (Primary School)
Other
Any allergies or medical information we should be aware of? (Child 3)
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Any Mountain Creek passes needed to participate in the club are included in the fees of the program. No additional passes are necessary for purchase. However, if you would like to upgrade your child's pass, receive a discount for a pass already purchased, or purchase a season pass for a family member not participating in the club, please note those requests below. Include a name for each pass upgrade or discount request. See chart below for the related charges/discounts that should be applied to the deposit. Leave blank if no changes to the included passes (good for ski club) are desired.
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Parent Contact
*
First Name
Last Name
Primary Parent Phone
*
Please enter a valid phone number.
Primary Parent Email
*
example@example.com
Additional Parent / Emergency Contact
*
First Name
Last Name
Additional Contact Phone
*
Please enter a valid phone number.
Additional Contact Email
*
example@example.com
Please include the additional contact in all club communications:
*
yes
no
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OPTIONAL: Parent Volunteers (Full Commitment): If you would like to be a parent volunteer, please note that it is a commitment for all 9 trips, and a discount of $1,250 per volunteer will be applied to registration fees. Additionally, as needed for counselor volunteers, season passes will be provided to the parent volunteer. Interested parents are subject to approval based on need.
Ski Counselor
Snowboard Counselor
Lodge Coordinator
Driver / Lodge Support (15 passenger van)
OPTIONAL: Parent name(s) for Full-Commitment Parent Volunteer interest
OPTIONAL: Parent Volunteers (Substitute): Unexpected absences of counselors, lodge coordinators, and/or drivers are possible, though luckily uncommon. It is helpful to have a list of substitute volunteers we can draw upon. If you are comfortable being added to this list, please select the role(s) for which you could be a substitute. In the case of a substitute volunteer being called upon and helping for a session, a prorated volunteer refund will be issued.
Ski Counselor
Snowboard Counselor
Lodge Coordinator
Driver / Lodge Support (15 passenger van)
OPTIONAL: Parent Name(s) for Substitute List
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Chairlift Policy: Children 9 and older that are Intermediate+ skiers or snowboarders are not required to have a counselor on the chairlift with them. Children that are 9 and older that are new or beginners will need to qualify to be without a counselor on the chairlift. All children ages 7-8 years old will ride on the chairlift with a counselor until they qualify to be without a counselor on the chairlift. To qualify, a child must demonstrate the ability to safely onboard and offboard the chairlift without help, including pulling down and raising the bar. Children under 7 are always required to ride the chairlift with a counselor. Children will be granted greater flexibility to ride the cabriolet at the discretion of the counselor.
*
Yes, I agree with this policy.
I ask for an exception to this policy as noted below. (must be approved)
Chairlift Exception Request:
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Media Release: I grant permission to SnowBound to take photographs and / or video of my child. I grant SnowBound the right to use them in SnowBound's printed and online publicity, end of year photobook, and social media. SnowBound will not note your child's name when using a picture or video.
*
I agree
I do not agree
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Assumption of Risk, Release of Liability, and Consent to Act during Medical Emergencies: I certify that my child is in good health and in proper physical condition to participate in ski or snowboard activities. I understand that participation in the program involves physical movement and therefore there are certain risks apparent in the activity, and that skiing and snowboarding are considered high-risk activities due to potential impact at speed and chairlift heights. As the legal parent or guardian, I hereby release and hold harmless SnowBound, INC, the NP Ski Club, the Rains Family, and any affiliated counselors or volunteers from and against any and all liability, claims, demands and causes of action whatsoever, arising out of or related to any loss, harm, cost, damage or injury, that may arise from or relate to my child's participation in SnowBound's ski and snowboard club activities. I agree to provide medical insurance for my child, and if I cannot be reached, I give permission to SnowBound (including the Rains Family, and counselors and volunteers part of the program) to render aid or to act on my behalf to obtain emergency medical treatment for the child(ren) for any illness or injury that may occur while participating in the program.
*
Medical Insurance (Company / Policy or Group # / Member ID):
*
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I agree to the fee chart below, will submit a deposit of $400 (zelle and venmo links on website) adjusted for any pass adjustment noted earlier, and agree to pay the balance by November 15th.
I agree
I need financial aid to support this activity for my child. Subject to approval - someone will call to discuss options.
Submit
Submit
Should be Empty: