Olin/Lacasse Mt Hood Registration Form 2017
For each participant this form must completed and submitted electronically (no combined forms).
Please mail checks by post with copy of this form (see address below) or submit payment electronically.
• Camp Fee (per week) Includes: 6 days coaching, lift tickets, airport/daily transportation, lodging w/ meal plan. These camps fill to capacity (Mt Hood 30max per week/VAIL 50max). Please enroll early.
• Minimum Deposit: $500 (US) per registrant must accompany registration to guarantee your enrollment. Use PayPal for deposit, or check payable to: Olin/Lacasse SkiRacing School (see mailing address below)
• Full Balance: full weekly tuition ($2000* (*subject to change)) is due no later than June 1st (summer) Nov 1st (Thanksgiving). Payment arrangements must be made in advance.
• Family lodging arrangements are available. Please call for custom pricing and guidance.
• Cancellations: REFUNDS available 45 days prior to camp (administration fee may be applied) Forfeiture of full deposit/tuition when canceled w/o notice.
• Skiing in the mountains involves inclement weather; bring appropriate gear/attire. Olin/Lacasse is not responsible for lost training days.
Racer First Name
Your answer
Racer Last Name
Your answer
YOB (yr of birth, e.g. 1995)
MM
/
DD
/
YYYY
Gender (M/F)
Shirt Size
This information is for estimating purposes only
# years skiing
Your answer
# years racing
Your answer
Parent Name(s)
Your answer
Email(s)
comma, space - after each email
Your answer
Phone(s)
comma, space - after each phone #
Your answer
Address
street address
Your answer
City
Your answer
State
Your answer
ZIP
Your answer
Club Affiliation
Your answer
Accommodation Plan
Please indicate whether camper will stay with Olin/Lacasse accommodations, or with a parent. We have payment choices based on tuition with or without lodging.
Select Session(s)
Make your selection for Mt Hood week(s)
Summer at Mt Hood, 2017
Weeks 1&2 Tues-Tues Arrival/Departure; Week 3 Wed-Wed Arrival/Departure. If you have other dates - communicate these to OL ASAP. These weeks have a maximum capacity of 30 students. Olin/Lacasse reserves the option to adjust, cancel, or reschedule any week based on enrollment or snow conditions.
Required
INTEREST: Thanksgiving at Vail 2017
Please indicate your interest in our Thanksgiving Camp at Vail, CO. This interest is only a place holder - and does not constitute registration (please see separate Registration Form). The Thanksgiving Camp has a strict limit of 50 students.
Required
EPIC Pass? For VAIL camp - do you have an Epic Pass?
Lift tickets for the training area are separate from VAIL Mtn.-OL buys these. At Vail, we have some options for freeskiing the main Mountain that would require an additional ticket-though this is not required. Those with an Epic pass would be able to take advantage of this feature.
Payment Section
Payment INFO
(credit cards carry approx. $50 service fee per session; no-fee checks mail to address above) See drop-down menu on our website for tuition offerings.
Paypal Transation ID#
Your answer
Check #
If paying by check
Your answer
Medical Release for Olin/Lacasse Participants
In this segment, please provide detailed information regarding participant's medical status, Insurance information, and consent to treat agreement.
Name of participant
Your answer
Medical Insurance Company and Policy Number
We encourage participants to carry a copy of their insurance card
Your answer
Existing Medical conditions:
Please be specific
Your answer
Current medications
Please alert us if participant needs help with medications
Your answer
Allergies
(include food allergies and any special needs)
Your answer
Consent: I, parent/guardian of participant, hereby grant permission, in case of injury, to have physician or other medical personal, provide medical assistance and or treatment to said participant.
[By inscribing, you acknowledge the terms of this Release] Signature - parent/guardian
Your answer
CODE OF CONDUCT & GROUNDS FOR DISMISSAL
Each participant will be expected to accept full responsibility for his/her conduct while attending Olin/Lacasse Programs and commit that his/her behavior will reflect positively on himself/herself, the Olin/Lacasse Program, and the sport of ski racing. Each participant understands that misconduct includes personal behavior that is not a compliment to himself/herself, his/her family, his/her coaches and fellow athletes. EACH PARTICIPANT UNDERSTANDS THAT ANY INFRACTION OF THE AFOREMENTIONED GUIDELINES MAY RESULT IN IMMEDIATE DISMISSAL FROM THE PROGRAM. In addition; IMMEDIATE DISMISSAL FROM THE PROGRAM WILL RESULT FROM ANY INVOLVEMENT WITH, POSSESSION, USE OR DISTRIBUTION OF ALCOHOL, DRUGS, OR TOBACCO, OR ANY OTHER RELATED DRUG PARAPHERNALIA. If participants choose to remain in a room or situation where alcohol or drugs (other than drugs prescribed for the person taking them) are being used, they will be considered to be involved and will be dismissed from the Program. TERMS OF DISMISSAL ARE AS FOLLOWS: 1) parent/guardian is notified of incident; 2) parent/guardian is responsible for making arrangements for participant’s return home immediately at the parent’s/guardian’s expense; 3) no tuition refund or any other refunds.
Signature - parent/guardian (provide date signed)
[By inscribing, you acknowledge the terms of this Release]
Your answer
Signature - camp participant (provide date signed)
[By inscribing, you acknowledge the terms of this Release]
Your answer
ASSUMPTION AND ACCEPTANCE OF RISK, RELEASE AND INDEMNITY
I/we acknowledge that the programs (“Programs”) of Olin/Lacasse Ski Racing School (“Olin/Lacasse”), including without limitation, the Olin /Lacasse Ski Camp, are filled with risks which are beyond the control of Olin/Lacasse, including, but not limited to the risk of personal injury from skiing or other sports that are part of the program. By signing this Acknowledgement and Assumption of Risks and Release from Indemnity, as parent/guardian, I am consenting to my child’s or ward’s participation in any of the Olin/Lacasse Programs and in consideration of Olin/Lacasse permitting my child or ward to participate in any of the Program, I agree to release and indemnify and hold Olin/Lacasse, its servants, agents or employees harmless from any and all claims, demands, damages or causes of action arising out of or in consequence of any loss, injury or damage to my child’s or ward’s person or property while attending or participating in any program of Olin/Lacasse.
Signature - parent/guardian (provide date signed)
[By inscribing, you acknowledge the terms of this Release]
Your answer
Signature - camp participant (provide date signed)
[By inscribing, you acknowledge the terms of this Release]
Your answer
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