Name: Otis Ridge Race Team
SKU: 13442
Price: 400.00 USD
Availability: InStock

PARENT/GUARDIAN INFO

Parent/Guardian's First Name*

Last Name*

Address*

City*

State*

Zipcode*

Parent/Guardian Email*

Parent/Guardian Phone*

RACER'S INFO

Racer's First Name*

Last Name*

Gender*

Male
Female

Date of Birth*

USSA #*

EMERGENCY MEDICAL CARE CONSENT

EMERGENCY CARE*

I authorize the Otis Ridge Ski Team to seek emergency care if needed for my child

Yes

Physician's Name*

Physician's Phone Number*

Physician's Address*

City*

State*

Zipcode*

Allergies*

Medications*

Health Concerns*

EMERGENCY CONTACT

In case parents are unable to be reached

Emergency Contact First Name

Last Name

Emergency Contact Phone Number

Do you give permission for your child to be released to this person?*

Yes

APPROVAL AND CONSENT

By completing this application I give my approval/consent for the participation of my child on the Otis Ridge Ski Team. I am aware of the risks and hazards incidental to such participation and I certify that he/she is physically fit to take part in all activities. I will not hold program authorities, staff or Otis Ridge Ski Area or the Otis Ridge Ski Team responsible in the case of accident or injury as the result of his/her participation. Permission is granted for the applicant to be given treatment by Ski Patrol or at a local hospital and I will assume all responsibility for payment to said institution. I pledge his/her compliance to all program rules and understand that should he/she be dismissed from the Otis Ridge Ski Team for any conduct not in the best interest of the program no part of the registration fee will be refunded.

I have read and agree to the Approval & Consent*

Yes

LIFT CONSENT*

I acknowledge that these programs require the skier to be able to ride all lifts safely; ski all Otis Ridge terrain; and the skier may be at times required to ride the lift alone or with the general public.

Yes

PHOTO & VIDEO RELEASE*

Skiers are occasionally photographed and/or videotaped as part of training. I give permission for Otis Ridge Ski Team and/or Otis Ridge Ski Area to use these on their website or for other promotional purposes.

Yes
No

Otis Ridge Race Team

COACHING FEE

PRACTICE ON SATURDAYS & NON-RACE DAY SUNDAYS 10 – 3pm

STARTING 1/7/23 (SNOW ALLOWING)

PARENT/GUARDIAN INFO

RACER'S INFO

EMERGENCY MEDICAL CARE CONSENT

EMERGENCY CONTACT

APPROVAL AND CONSENT