OL Thanksgiving Camp Registration

All Participants must complete this form and submit electronically.
Please mail checks by post with copy of this form (see address below) or submit payment electronically.
• Camp Fee Includes: 6 days coaching, lift tickets, airport/daily transportation, lodging w/ partial meal plan. This camp fills to capacity (50 max). Please enroll early.
• Minimum Deposit: $500 (US) per registrant must accompany registration to reserve your enrollment. Use PayPal for deposit, or check payable to: Olin/Lacasse SkiRacing School (see mailing address below)
• Full Balance: full tuition ($2000) is due no later than Nov 1st, 2014. 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

This is a required question

Racer Last Name

This is a required question

YOB (yr of birth, e.g. 1995)

Gender (M/F)

This is a required question

# years skiing

This is a required question

# years racing

This is a required question

Parent Name(s)

This is a required question

Email(s)

comma, space - after each email

This is a required question

Phone(s)

comma, space - after each phone #

This is a required question

Address

street address

This is a required question

City

This is a required question

State

This is a required question

ZIP

This is a required question

Club Affiliation

This is a required question

Select Session(s)

Thanksgiving at Vail

Saturday Arrival - Saturday Departure, etc. If you have other dates - communicate these to OL ASAP.

Sat-Sat, Nov 22-29
Other:

This is a required question

Payment Section

Payment INFO

(credit cards carry approx. $50 service fee per session; no-fee checks mail to address above)

This is a required question

Paypal Transation ID#

This is a required question

Check #

If paying by check

This is a required question

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

This is a required question

Medical Insurance Company and Policy Number

We encourage participants to carry a copy of their insurance card

This is a required question

Existing Medical conditions:

Please be specific

This is a required question

Current medications

Please alert us if participant needs help with medications

This is a required question

Allergies

(include food allergies and any special needs)

This is a required question

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

This is a required question

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]

This is a required question

Signature - camp participant (provide date signed)

[By inscribing, you acknowledge the terms of this Release]

This is a required question

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]

This is a required question

Signature - camp participant (provide date signed)

[By inscribing, you acknowledge the terms of this Release]

This is a required question