Loading...

Mountain Sports School Lesson Release Form

Release of Liability

As the parent or legal guardian or other legal representation of said minor child, I understand and am aware that there are inherent and other risks involved in participating in ski and snowboard lessons which could cause injury to the child.

I hereby release the Snowy Range School, their representatives, employees, agents, officers, and directors from any and all liabilities, claims, and causes of action of any kind or nature which may occur to said minor child arising out of participation in the Snow School Program, and indemnify and hold them harmless from liability, claims, and causes of action of any kind or nature for any loss, damage, injury, illness, or harm of any kind or nature to any person or property which is caused or contributed by said minor child, whether alone or in concert with other minor children. Should I elect not to outfit my child with a safety helmet, I understand that this release applies to anything that might occur as a result of my failure to provide such a helmet. I also understand that said lesson(s) may progress to a level where the students are ready to ride a chairlift. It is not guaranteed that all students will ride the lift with an instructor. Students may be riding the lift with; other students, chaperones, general public, or alone. It is the students responsibility to ride the lift safely and if this cannot be done the minor may be expelled from the lesson.

In the event of a medical emergency, relative to said minor child, I hereby authorize Snowy Range Snow School, Snowy Range Ski and Recreation Area, their representatives, employees, officers, and directors to take such responsible action to care for such minor child, in addition to calling for medical care and emergency services, as is necessary or helpful in their opinion, and hold them harmless on account of any such action.

I understand that group lessons end at 12:00pm or 3:30pm or depending on the type of lesson, or if otherwise stated by the director or instructor at the start of each lesson, and I am to pick up the said minor child at that time. I understand that I alone may pick up said minor child at the end of the lesson unless I designate another person(s) in the space below who will then assume responsibility for the child upon the presentation of proper photo identification.

Date: June 16, 2019

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Lesson Date: *
Type of Lesson:*
Lesson Grouping:*
Ability Level:*

Special Needs, Safety, and Other Considerations:


Please list below any allergies, special needs, or considerations that we need to be aware of to accommodate you. Also, please be aware that helmets are available at the rental shop:

Photo Release: 

I give Snowy Range Ski Area permission to take and use photos of lessons with my child in it for advertising purposes.

Check here if you DO NOT comply
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Lesson Date: *
Type of Lesson:*
Lesson Grouping:*
Ability Level:*

Special Needs, Safety, and Other Considerations:


Please list below any allergies, special needs, or considerations that we need to be aware of to accommodate you. Also, please be aware that helmets are available at the rental shop:

Photo Release: 

I give Snowy Range Ski Area permission to take and use photos of lessons with my child in it for advertising purposes.

Check here if you DO NOT comply
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Lesson Date: *
Type of Lesson:*
Lesson Grouping:*
Ability Level:*

Special Needs, Safety, and Other Considerations:


Please list below any allergies, special needs, or considerations that we need to be aware of to accommodate you. Also, please be aware that helmets are available at the rental shop:

Photo Release: 

I give Snowy Range Ski Area permission to take and use photos of lessons with my child in it for advertising purposes.

Check here if you DO NOT comply
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Lesson Date: *
Type of Lesson:*
Lesson Grouping:*
Ability Level:*

Special Needs, Safety, and Other Considerations:


Please list below any allergies, special needs, or considerations that we need to be aware of to accommodate you. Also, please be aware that helmets are available at the rental shop:

Photo Release: 

I give Snowy Range Ski Area permission to take and use photos of lessons with my child in it for advertising purposes.

Check here if you DO NOT comply
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Lesson Date: *
Type of Lesson:*
Lesson Grouping:*
Ability Level:*

Special Needs, Safety, and Other Considerations:


Please list below any allergies, special needs, or considerations that we need to be aware of to accommodate you. Also, please be aware that helmets are available at the rental shop:

Photo Release: 

I give Snowy Range Ski Area permission to take and use photos of lessons with my child in it for advertising purposes.

Check here if you DO NOT comply
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Lesson Date: *
Type of Lesson:*
Lesson Grouping:*
Ability Level:*

Special Needs, Safety, and Other Considerations:


Please list below any allergies, special needs, or considerations that we need to be aware of to accommodate you. Also, please be aware that helmets are available at the rental shop:

Photo Release: 

I give Snowy Range Ski Area permission to take and use photos of lessons with my child in it for advertising purposes.

Check here if you DO NOT comply
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Lesson Date: *
Type of Lesson:*
Lesson Grouping:*
Ability Level:*

Special Needs, Safety, and Other Considerations:


Please list below any allergies, special needs, or considerations that we need to be aware of to accommodate you. Also, please be aware that helmets are available at the rental shop:

Photo Release: 

I give Snowy Range Ski Area permission to take and use photos of lessons with my child in it for advertising purposes.

Check here if you DO NOT comply
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Lesson Date: *
Type of Lesson:*
Lesson Grouping:*
Ability Level:*

Special Needs, Safety, and Other Considerations:


Please list below any allergies, special needs, or considerations that we need to be aware of to accommodate you. Also, please be aware that helmets are available at the rental shop:

Photo Release: 

I give Snowy Range Ski Area permission to take and use photos of lessons with my child in it for advertising purposes.

Check here if you DO NOT comply
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Lesson Date: *
Type of Lesson:*
Lesson Grouping:*
Ability Level:*

Special Needs, Safety, and Other Considerations:


Please list below any allergies, special needs, or considerations that we need to be aware of to accommodate you. Also, please be aware that helmets are available at the rental shop:

Photo Release: 

I give Snowy Range Ski Area permission to take and use photos of lessons with my child in it for advertising purposes.

Check here if you DO NOT comply
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Lesson Date: *
Type of Lesson:*
Lesson Grouping:*
Ability Level:*

Special Needs, Safety, and Other Considerations:


Please list below any allergies, special needs, or considerations that we need to be aware of to accommodate you. Also, please be aware that helmets are available at the rental shop:

Photo Release: 

I give Snowy Range Ski Area permission to take and use photos of lessons with my child in it for advertising purposes.

Check here if you DO NOT comply
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Lesson Date: *
Type of Lesson:*
Lesson Grouping:*
Ability Level:*

Special Needs, Safety, and Other Considerations:


Please list below any allergies, special needs, or considerations that we need to be aware of to accommodate you. Also, please be aware that helmets are available at the rental shop:

Photo Release: 

I give Snowy Range Ski Area permission to take and use photos of lessons with my child in it for advertising purposes.

Check here if you DO NOT comply
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver