Catamount Trail Association Ski Program Waiver
Completing this form indicates my child has permission to participate in the Ski Cubs program organized by the Catamount Trail Association and taking place at Catamount Outdoor Family Center.
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Program Information: 
Dates: Saturday January 13th, January 20th, January 27th, February 3rd, February 10th, February 17th
Participation Age: Program is for students age 8 and up. Please email outreach@catamounttrail.org if your student is younger than 8 and you would like them to participate.
Schedule:
8:45 Bus pick up (Sustainability Academy, 123 North Street, Burlington)
9:00 Bus pick up (O'Brien Center, 32 Malletts Bay Ave, Winooski) 
9:10 Bus pick up (JFK Elementary Main Entrance, 60 Normand Street, Winooski) 
9:30 Program Start at Catamount Outdoor Family Center (592 Governor Chittenden Rd, Williston) 
12:00 pm Program ends
12:30 Bus drop off (JFK Elementary)
12:35 Bus drop off (O'Brien Center) 
12:50 Bus drop off (Sustainability Academy)
Cancelations: Ski Cubs may be cancelled due to extreme weather. In the event of a cancellation, we will contact you at the preferred method indicated below. 
Questions: email cdickerson@catamounttrail.org 
Waiver & Release Of Liability
I am aware of and assume all risks associated with participating in this program, including but not limited to falls, contact with other participants or obstacles, effect of the weather, snow conditions, ski equipment, and conditions of the trail. I hereby release the Catamount Trail Association, its officers, members, tour leaders, volunteers, sponsors, and host sites, including Catamount Outdoor Family Center and the Town of Williston, of any liability for personal injury resulting from my child’s participation in Ski Cubs during the specified period. I also hereby waive, release and forever discharge the program organizers, sponsors, promoters, and their agents, representatives, successors and assigns, and all other persons associated with the program, for my child’s liabilities, claims, actions, or damages that he or she may have against them arising out of or in any way connected with his or her participation in this program. I understand that this waiver includes any claims, whether caused by negligence, the action or inaction of any of the above parties, or otherwise.

Photo/Video Release
Unless otherwise indicated, I grant full permission to the event organizers to use any photographs, video, motion pictures, website images, recordings or any other record of my child or ward at this event for use in print materials, social media, and website updates.
I agree to the waiver and release of liability above. *
Parent/Guardian Name (This will serve as an electronic signature) *
Parent/Guardian Phone Number *
Parent/Guardian Email
Student Name *
Student School *
Student Age *
Preferred Method of Communication: *
Is the participant: *
Has the participant cross-country skied before? *
Skill Level: 
Clear selection
Will the participant be skiing outside of this program (eg. Bill Koch, with family, etc.)?
Clear selection
The Participant will: *
If riding the bus, the participant will be picked up at: *
Volunteer: If you are interested in volunteering or attending the program with your child, please check all that apply
Please list an emergency contact (name and phone number): *
Please list any medical concerns, accessibility needs, allergies, or medications we should  be aware of:
Demographic Questions:
Please note that the following questions are required by grant funders and not have any impact on your students ability to participate in the program. All answers are anonymous and complied for the entire program (1300+ students).
Gender *
Race/ethnicity *
Heritage *

Is student/family a newcomer to the United States (Multilingual/ELL student/New American): 

Clear selection
Do you qualify for Free or Reduced Lunch *
Household income *
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