SnowBound
26-27 Ski & Snowboard Club Registration Form
Name (Child 1)
*
First Name
Last Name
Birthdate (Child 1)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Grade (Child 1)
*
Please Select
Before 1st
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
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)
*
Primary Program
Middle School Program - Premium (ski/ride with counselor)
Middle School Program - Base (ski/ride with friends)
Number of Trips (Child 1)
*
9 Trips (Wednesdays and Sundays)
5 Trips (Wednesdays Only)
4 Trips (Sundays Only)
Daily (if spots available after 11/15 for eligible programs)
For Wednesdays: Choose Pick-up School (Child 1)
*
Allen W. Roberts Elementary School 2:30-2:35
New Providence Middle School 2:45 - 2:50
Salt Brook Elementary School 3:00 - 3:05
Kent Place School 3:15 - 3:20
Not Applicable (Sundays Only: All meet at NP Community Pool)
Any allergies or medical information we should be aware of? (Child 1)
*
Name (Child 2)
First Name
Last Name
Birthdate (Child 2)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Grade (Child 2)
Please Select
Before 1st
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
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)
Primary Program
Middle School Program - Premium (ski/ride with counselor)
Middle School Program - Base (ski/ride with friends)
Number of Trips (Child 2)
9 Trips (Wednesdays and Sundays)
5 Trips (Wednesdays Only)
4 Trips (Sundays Only)
Daily (if spots available after 11/15 for eligible programs)
For Wednesdays: Choose Pick-up School (Child 2)
Allen W. Roberts Elementary School 2:30-2:35
New Providence Middle School 2:45 - 2:50
Salt Brook Elementary School 3:00 - 3:05
Kent Place School 3:15 - 3:20
Not Applicable (Sundays Only: All meet at NP Community Pool)
Any allergies or medical information we should be aware of? (Child 2)
Name (Child 3)
First Name
Last Name
Birthdate (Child 3)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Grade (Child 3)
Please Select
Before 1st
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
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)
Primary Program
Middle School Program - Premium (ski/ride with counselor)
Middle School Program - Base (ski/ride with friends)
Number of Trips (Child 3)
9 Trips (Wednesdays and Sundays)
5 Trips (Wednesdays Only)
4 Trips (Sundays Only)
Daily (if spots available after 11/15 for eligible programs)
For Wednesdays: Choose Pick-up School (Child 3)
Allen W. Roberts Elementary School 2:30-2:35
New Providence Middle School 2:45 - 2:50
Salt Brook Elementary School 3:00 - 3:05
Kent Place School 3:15 - 3:20
Not Applicable (Sundays Only: All meet at NP Community Pool)
Any allergies or medical information we should be aware of? (Child 3)
Back
Next
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.
Format: (000) 000-0000.
Primary Parent Email
*
example@example.com
Additional Parent / Emergency Contact
*
First Name
Last Name
Additional Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Contact Email
*
example@example.com
Please include the additional contact in all club communications:
*
yes
no
How did you hear about SnowBound? If you were referred by someone, please note the name.
*
Back
Next
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 (see upgrade options below), receive a discount for a pass already purchased (discount amounts below), or purchase a season pass for a family member not participating in the club (prices below), please note those requests here. Include a name for each pass upgrade or discount request. See chart below for the related charges/discounts that will be reflected on your final invoice. Leave blank if no changes to the included passes (good for club) are desired.
Back
Next
Chairlift Policy: Children grades 4 and higher that are Intermediate+ skiers or snowboarders are not required to have a counselor on the chairlift with them. Children that are grades 4 and higher that are new or beginners will need to qualify to be without a counselor on the chairlift. All children in grades 3 and lower 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 year old 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:
Back
Next
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
Back
Next
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 / Group # / Member ID):
*
Back
Next
I agree to the fee chart below, will submit a deposit of $500 to secure this registration, and agree to pay the balance by November 15th. Pay via venmo to @erika-rains-1 or zelle to erika@snowbound.club.
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: