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I grant the authority to Keely’s Camp to execute a release or waiver as may be requested by a ski company or ski lessor so as to permit my daughter to demo skis and related ski equipment in conjunction with her attending Keely’s Camp.  

First  Name
First Name*
Last Name*
First  Age Acknowledgment*
First  Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First  Signature*
Second Name
First Name*
Last Name*
Date of Birth*
Date of Birth
Third Name
First Name*
Last Name*
Date of Birth*
Date of Birth
Fourth Name
First Name*
Last Name*
Date of Birth*
Date of Birth
Fifth Name
First Name*
Last Name*
Date of Birth*
Date of Birth
Sixth Name
First Name*
Last Name*
Date of Birth*
Date of Birth
Seventh Name
First Name*
Last Name*
Date of Birth*
Date of Birth
Eighth Name
First Name*
Last Name*
Date of Birth*
Date of Birth
Ninth Name
First Name*
Last Name*
Date of Birth*
Date of Birth
Tenth Name
First Name*
Last Name*
Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
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.


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