Lost Trail Ski & Board School

Please provide the following Parent contact information:

Name
Street Address
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail

Student Information:

Name
Date of Birth
Sex	Male Female

Were you a team member last year?:           My Coach was:

Yes No                                                   I will be attending on Saturdays   Sundays

Choose one of the following options:                        

I am a Skier I am a Snowboarder

Skiers and Snowboarders please be as accurate as possible:

I ride ALL Green Runs  I ride ALL Blue Runs   I ride ALL Black Runs 

I ski at the following level:

Wedge Turns Wide Stance Parallel Narrow Parallel  

Narrow Parallel but open to turn  

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I Am Interested in the All Mountain Race Team  

I Am Interested in the All Mountain Mogul Team  

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I am applying for the Full Program including Coaching and Lift Tickets $165.00

I have my own Season Pass #   and will need Coaching only $ 90.00

If, in case of injury to my child, while participating in the Lost Trail Ski School All Mountain Program, during the hours of 10 am and 3pm, I am authorizing medical treatment recommended by the Lost Trail Ski Patrol and attending physicians. Actions may include winter emergency care treatment, transport to ski area medical facilities, transport to Marcus Daly Memorial Hospital and treatment by the attending Emergency Room physician.

 

I realize that skiing, like any sport, has an inherent risk for injury. In case of injury, I will not hold Lost Trail Ski & Board School or Lost Trail Ski Area responsible.

 

Parent of Guardian Signature:

Student Signature: