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Otis Ridge Race Team
$
400.00
COACHING FEE
PRACTICE ON SATURDAYS & NON-RACE DAY SUNDAYS 10 – 3pm
STARTING 1/7/23
(SNOW ALLOWING)
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
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