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Lewisburg High School Weekend Trip - New York
Traveling to NY to ski Whiteface and Gore Mountains - Feb 1st, 2nd, and 3rd 2019
Student First Name
Student Last Name
Parent/Guardian Email address(es)
Student Cell Phone Number
Parent/Guardian Cell Phone Number(s)
This number MUST be able to be reached during the weekend the club is on the trip
What is the level of experience of the skier/snowboarder?
Please select one of the following:
Indicate how you will participate on the weekend trip.
as a skier
as a snowboarder
with Ski Rental
with Snowboard Rental
Trip Payment plan
you can pay a $100 deposit or pay the full $325 - checks payable to "Lewisburg Area High School"
Full Payment of $325
Provide Check number for payment
cash is accepted
I, THE ABOVE NAMED STUDENT, understand that Ski club is a school-sponsored event with faculty advisors (and possibly an PTSA coordinator). All applicable school policies outlined in the high school student handbook will be in effect. (Please refer to the Student Handbook for specific information regarding school-sponsored events.) The teacher/ advisors and teacher appointed chaperones are the school district representatives who have the authority to enforce school policies as they relate to school sponsored trips. Please refer to the student handbook for specific information regarding appropriate behavior and consequences. A student not permitted on the ski trip(s) due to disciplinary action within the school will not get a refund. A student who violates school rules during a ski club trip may lose their lift ticket, face school discipline and could forfeit their privilege to attend future ski club functions for the duration of their school experience. As a student enrolled at Lewisburg Area High School I fully understand that skiing / snowboarding is a dangerous sport. I fully understand that all school policies are applicable on Ski Club trips as well as additional Ski Club rules. I hereby agree to follow all applicable school policies and Ski Club rules or face the administrative consequences.
By typing in the below box with your full name, you acknowledge yourself as the above named student and agree to follow the statement above.
I am the parent/guardian of the above named student of the Lewisburg Area School District. I hereby grant permission for the above named student to participate in and attend the ski club trips on the dates they are offered. I consent to the student's participation in the ski club's activities. I will validate that the above named student read, understands the guidelines and potential consequences and signed their own name in the above box. I understand that ski club activities can be dangerous and injuries may occur. I understand if a student is injured seriously, all steps needed will be taken to provide the best medical service to the student, this may include a trip to a local hospital or medical facility I understand my child will be driven by commercial bus to and from the ski resort.
By typing in the below box with your full name, you acknowledge yourself as the parent/guardian of above named student and agree to the statement above..
In consideration of my child being allowed to participate in ski club and on behalf of my child, my spouse and myself, I hereby assume all risks in connection with the trips to and from the ski resort and the activities on and off the slopes while with Ski Club. I further release Lewisburg Area School District, the Ski Resort(s), any employees, volunteers and chaperones from all judgments or liabilities for any injury or damage that my child may incur during his/her participation in Ski Club activities, including all risks connected therewith whether foreseen or unforseen. In addition, as said parent/guardian of aforementioned child, I am aware that if my child commits a violation of any of the school’s substance or discipline policies, that I, as the parent/guardian of said child may be asked to provide alternative transportation for my child’s return from the destination of ski club. (Please refer to the Student Handbook for specific information regarding the school’s policies.) I fully understand that skiing / snowboarding is a dangerous sport and I fully understand all that is involved in my child participating in this activity with the Lewisburg Ski Club.
By typing in the below box with your full name, you acknowledge yourself as parent/guardian of the above named student and agree to the statement above.
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