Application Form

 

Family Last Name                                                                                                                  

Parents/Guardians                                                                                                                 

Home Address                                                                                                                      

City                                                                 State                            Zip                              

Home Phone                                          Wknd Phone (if different)                                       

Work Phone       Mother                                             Father                                                  

Cell Phone         Mother                                              Father                                                  

Email                  Mother                                              Father                                                  

                           Athlete                                              Athlete                                                

Athlete Name(s)                                 Date of Birth                           Program Fee (below)

                                                                                                                                               

                                                                                                                                               

                                                                                                                                               

Program Fees – Training Only

(DOES NOT INCLUDE LIFT TICKETS)

By Nov. 1, 2007         By Dec. 1, 2007

J1,2 (15-19 years by Jan. 1, 2008)                               $875*                          $960*

J3,4 (11-14 years by Jan. 1, 2008)                               $775*                          $850*

J5 (10 or younger by Jan. 1, 2008)                               $675*                          $740*

Saturday Only Program (J1-5)                                      $500*                          $550*

J7 Program (ages 6-8; Saturday AM only)                    $300                            $300

 

*Note:  To keep coaching fees as low as possible, and because this is an independent, nonprofit organization, we rely on our members to participate in organized, team-sponsored fundraising events to supplement our fees.  Each family is expected to supplement their coaching fees with fundraising participation as follows:   1st racer in family  =  $200 ($100 for Sat. only athletes);  2nd racer  = $100;  3rd racer  =  $50.  Maximum family commitment is $350; families not wishing to participate in fundraising can pay their commitment as a fee prior to March 1, 2008.

 

Payment

Checks preferred, payable to “SPRT,” or credit cards accepted

Visa   MasterCard   AmEx   #                                                                       Exp.                   

Cardholder Signature                                                                                                               

Mail Forms (with applicable fees) to:

Shawnee Peak Race Team, c/o Cici Gordon, 8 West Chardon Rd, Winchester, MA 01890

 

For Lift Ticket Information call Shawnee Peak at (207) 647-8444 or visit www.ShawneePeak.com

Questions?  Contact Cici Gordon at (617) 596-1358 or cgordon@coneinc.com

 


 

Release of Liability

 

THIS IS A RELEASE OF LIABILITY, PLEASE READ CAREFULLY BEFORE SIGNING OR ENGAGING IN THIS ACTIVITY.

 

 

                                                                                                                                                                    

Print Parent/Guardian Name                                                             Print 1st Athlete’s Name                                                                 

 

                                                                                                                                                                       

Print 2nd Athlete’s Name                                                                     Print 3rd Athlete’s Name                                                                    

 

 

I/we understand and accept the fact that alpine skiing and in particular in its various forms is a HAZARDOUS sport that has many dangers and risks. It is further understood that training or racing competitively is more HAZARDOUS than recreational racing. I/we realize that injuries are common and ordinary occurrence of this sport. I/we agree, as a condition of being allowed to use the ski area facility and premises, that I/we freely accept and voluntarily assume all risks of personal injury or death or property damage which result in any way from negligence, conditions on or about the premises and facilities, the operations of the ski area including, but not limited to, grooming, snowmaking, ski lift operations actions or omissions of employees, or agents of the area, or competitor’s participation in skiing, training, any competitive event or any continuance thereof, or in the course of travel to or from any such event, or other activities at the area.  I/we agree with the premise that a participant is a competitor at all times, whether practicing for competition or in competition. I/we agree that the competitor is always provided an opportunity to conduct a reasonable physical and visual inspection of the training or race course, and I/we agree to physically and visually inspect the course prior to competing or training. I/we agree and understand that the competitor will be held to assume the risk of all course conditions including, but not limited to, weather and snow conditions, course construction or layout and obstacles.  I/we freely accept the full responsibility for any and all damage or injury of any kind which may result and agree to indemnify and hold Shawnee Peak Holding, Inc., Shawnee Peak Ski Area, Shawnee Peak Race Team, all their officers, agents and employees, acting officially or

otherwise, harmless for any claim, demand actions or causes of action arising out of, on account of, any injury or damage to said competitor or competitor's property arising from the negligence or breach of warranty express or implied of the above entities and persons affiliated with said entities.

 

I/WE HAVE CAREFULLY READ AND UNDERSTAND THE TERMS OF THIS RELEASE AGREEMENT, I/WE ARE SIGNING IT FREELY AND REALIZE THAT IT IS BINDING UPON MYSELF, MY HEIRS AND ASSIGNS. I/WE UNDERSTAND THAT OUR SIGNATURES BELOW EXPRESSLY WAIVE ANY RIGHTS I/WE HAVE TO SUE SHAWNEE PEAK FOR INJURIES AND DAMAGES. IN THE EVENT I AM SIGNING IT ON BEHALF OF ANY MINORS, THAT I HAVE FULL AUTHORITY TO DO SO, REALIZING ITS BINDING EFFECT ON THEM AS WELL AS MYSELF.

 

Further, full permission is hereby given to use any photographs or movies of said competitor taken during any competitive event or training exercise for any purpose in promoting events.

 

 

                                                                                                                                                                    

Parent/Guardian Signature                                                Date        1st Athlete’s Signature                                                            Date                   

 

                                                                                                                                                                       

2nd Athlete’s Signature                                                        Date        3rd Athlete’s Signature                                                           Date