Valley Ski Club Registration Info Dec 11, 2020
All info is required by Valley and/or Brianhead Ski Resort. THIS FORM MUST BE COMPLETED FOR EACH PARTICIPANT
Email address *
Full Name of Participant (First & Last) *
Name of person Completing this request *
Name of School Employee Sponsoring you? (Write your name if you are employed by Valley *
Physical Address *
Phone Number *
Participant Status *
Date of Birth *
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DD
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Weight *
Height *
Parent email address *
Emergency Contact Name *
Emergency Contact Number *
Are you Skiing or Snowboarding? *
Do you want a ski/snowboard lesson? ($10 extra Charge) *
What is your level of expertise? *
Have you completed the required Brianhead Resort Waiver? *
Are you planning on driving *
Are you willing to drive any extra people? *
If willing to drive extras...how many extra seatbelts do you have? *
Type N/A if you are not driving or have no extra seats
If you are driving your own vehicle please list Make, Model, color, Auto Insurance Carrier, Carrier phone number
Please list any medical conditions which would affect participation in this activity.
Are you requesting a school lunch? *
Any circumstances we should know about?
Required Digital Signature *
By typing my name below I acknowledge I am electronically signing (parent or guardian signature required for participants under the age of 18):
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