Youth Ski-Trip 2019
Registration form for the CBWC Youth Ski-Trip February 23-24, 2019 @ Mt. Washington
Student's Name: *
Your answer
Contact Email: *
Your answer
Contact Phone Number (optional):
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Which church is the participant attending with? *
Date of Birth: *
Your answer
Health Card Number: *
Your answer
Allergies: *
Your answer
Is the participant bringing any medications with them? If so, what and why? *
Your answer
Food Allergies or Dietary Restrictions: *
Your answer
Emergency Contact's Name: *
Your answer
Emergency Contact's Phone Number: *
Your answer
Will you be bringing your own ski-gear?
Medical Release and Assumption of Risk:
I/We release Olivet Baptist Church/New Life Duncan/First Baptist Nanaimo/Whiterock Baptist and its representatives from any claim brought by anyone arising out of all sponsored events, on or off the premises. I/We further give our permission for any immediate medical treatment deemed necessary while said child is under the care of the participating churches and their representatives, if a parent/legal guardian cannot be reached.

I am aware that skiing and snowboarding involve risks, dangers and hazards and that injuries are a common and ordinary occurrence of these sports.

Skiing: I understand that the ski boot/binding system may not release during every fall or may release unexpectedly. The ski boot/binding system is no guarantee that the user will not be injured.

Snowboarding: I understand that the boot/binding system is not designed or intended to release and will not release under normal circumstances. I understand that as the boot/binding system is a non-release system this system will not reduce the risk of injury during a fall and will increase the risk of not surviving an avalanche.

Helmets: I understand that a helmet designed for RECREATIONAL SNOW SPORTS use will help reduce the risk of some types of injuries to the user at slower speeds. I recognize that serious injury or death can result from both low and high energy impacts, even when a helmet is worn. If the participant is under 18 years of age please have a parent/legal guardian print their name in the box below and date the form:

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This form was created inside of Olivet Baptist Church.