Mt. Bike Program Registration- Summer 2023
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Boys & Girls Club of Greater Shasta Mt. Biking Program Packet
Dear Parent or Guardian,

This program is available for youth who have graduated from grades K-8th. 

The Boys & Girls Club of Greater Shasta will be going to Shastice Park and the Gateway Trails for their Mountain Biking Program on Tuesdays for Beginners and Thursdays for Intermediate from July 17-August 10th starting at 9:00am and ending at 12:00pm. 

For members of the program that are also participating in the summer programs there is no change in regular drop-off or pick-up times. For those who are planning to only participate in the Mountain Bike Program please be at the Club site (Sisson- 601 E. Alma Street Mount Shasta, CA 96067) 15 minutes before the program is set to begin. 

Mountain bike lessons  will be provided by Shasta Gravity with professional BICP certified coaches in a 1:5 ratio. Skills taught will be ready position, bike body separation, braking, cornering, control, stability, and balance as well as fun bike games! Practices will be at Shastice Park and Gateway Trails. Coaches will be with groups at all times and there will always be a head coach in front and assistant coach in the rear of the group. Lessons will include both skill sessions and trail sessions.

The Program will include: 
● Snacks
● Mt. Bike Lessons by Shasta Gravity 
● Mt. Bikes and Helmets to use During the Program if needed

Pricing: 
BGCGS Summer Program Member: $100
Non-Member: $200 

 If your family can afford to contribute, please consider making a donation to do so. Every little bit of support helps us strengthen our Club and allows us to offer programs such as this to all members no matter their economic status. 

We are very excited to be offering this special program to our members. In order to make this program a success, we are needing a commitment from you and your child to participate in our full 4-week program. Spots are limited. The program is subject to cancellation if minimum membership requirement set by Shasta Gravity are not met.

 Registration will not be complete until the registration form and payment have been received. 

To pay online go here: Pay
Important Information
Your child must wear appropriate clothing for biking activity. Appropriate clothing includes close-toed sturdy shoes, comfortable clothing such as shorts and a long sleeve breathable shirt; kneepads and mountain biking gloves.  
Your child must remain with the group at all times and follow the scheduled lesson. Free time biking on the gateway trails is always with an instructor.  

If students will be absent, please notify the Club by calling (530) 220-5055, or emailing us at info@bgcgreatershasta.org.
I HAVE READ, UNDERSTAND, AND AGREE TO THE BGCGS MOUNTAIN BIKING PROGRAM  RULES & INFORMATION  
PARENT/GUARDIAN FIRST NAME (ACTING AS A SIGNATURE) *
PARENT/GUARDIAN LAST NAME (ACTING AS A SIGNATURE) *
DATE *
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Participant Information
First Name *
Last Name *
Age *
Bike Experience Level *
Does your child have a mountain bike with front or full suspension? *
Does your child have a helmet? *
Boys & Girls Club of Greater Shasta Mountain Biking Program Permission Slip
If there are any allergies, allergies to medications, or any other special considerations we should be aware of, please list here: *
In the event of a medical emergency; I hereby give permission to the physician selected by the Supervising Staff Member to secure proper medical treatment. I understand that in the event that I cannot be reached, nor any of my emergency contacts, this may include hospitalization, anesthesia, injections or surgery for my child. *
Participant's Insurance Information
Insurance Carrier *
Policy or Group Number *
Date of Birth *
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Home Address *
City, State, and Zip
Emergency Phone Number
Acknowledgement of Risk
PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS AN ACKNOWLEDGEMENT OF RISK AGREEMENT. As a condition of being permitted access to being a client of Shasta Gravity Adventures as a passenger for shuttling, mountain bike guided, or mountain bike skills coached, I agree as follows:


1. I warrant and represent that my child is in good health and that I have no special problems or limitations that have not been listed on this form.
2. I agree and understand that mountain biking is a HAZARDOUS activity (hereinafter the "Activity"). Further, I recognize that there are risks, including, but not limited to, rocks of various sizes, uneven and/or slippery trail conditions. varying slopes, variations in terrain, bumps, stumps, forest growth, loose gravel and dirt, wet surfaces, holes and potholes, downed timber, debris, other bikes, man-made wooden boardwalks and similar features, and vehicles and paved surfaces. I further understand that mountain biking is different than road biking. I recognize that injuries are a common and ordinary occurrence of the Activity. I hereby agree to freely and expressly ASSUME and accept ANY AND ALL RISKS OF INJURY OR DEATH while participating in the Activity as a result of my negligence in participating in the Activity conducted by Boys & Girls Club of Greater Shasta on NFS lands, except to the extent that the bodily injury, death, or loss of personal property may be due to the negligence of Boys & Girls Club of Greater Shasta.
3. I understand that helmets are required, and I agree that my child will wear a helmet at all times.
4. I agree that any and all disputes between Boys & Girls Club of Greater Shasta and me arising from my child's participation in the Activity or my use of rented equipment, and including any claims for personal injury and/or death, will be governed by the laws of the State of California and exclusive jurisdiction thereof will be in the state/commonwealth of California.
5. In the event any section of this Agreement is found to be unenforceable, the remaining terms shall be fully enforceable.
6. This Agreement shall be binding to the fullest extent permitted by law.
7. This Agreement shall be binding upon my assignees, subrogers, distributees, heirs, next-of-kin, executors, personal representatives, administrators, and insurers and may be pied by Boys & Girls Club of Greater Shasta as a complete bar and defense against any claim, demand, action or causes of action by me or on my child's behalf.


l/WE HAVE CAREFULLY READ THE FOREGOING AGREEMENT, UNDERSTAND ITS CONTENTS AND SIGN WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.
Date *
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Parent/Guardian First Name (Acting as Electronic Signature) *
Parent/Guardian Last Name (Acting as Electronic Signature) *
Child(ren)'s First Name *
Child(ren)'s Last Name *
Email Address *
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