Catamount Trail Association: Ski Cubs Program Waiver
Completing this form indicates my child has permission to participate in the Ski Cubs Program organized by the Catamount Trail Association.

** Please note that this programs is for ages 8 and up.**

Sign-ups are on a limited to the number of spaces on the bus, and because of that participants are required to attend for all 6-weeks of the program. Sign up as early as possible to secure your spot in the program.

Ski Cubs Saturday Program Schedule
8:15am - Bus pick up (O’Brien Center)
8:30am -  Bus pick up (Sustainability Academy, meet in school parking lot)
9:00am - Program start at Bolton Valley Backcountry and Nordic Sports Center
12:00pm - Program ends
12:45pm - Bus drop off (Sustainability Academy)
1:00pm - Bus drop off (O’Brien Center)

Program Dates: 1/8, 1/15, 1/22, 1/29, 2/5, 2/12 (make up date 2/19)

Cancellations
Ski Cubs may be cancelled due to weather or bus driver shortages. If Ski Cubs is cancelled due to weather, we will email parents and chaperones Friday evening, and post a sign on the door at Sustainability Academy and the O’Brien Center. This year, Ski Cubs could be cancelled due to bus driver shortages, if this should happen we will announce it at Ski Cubs the week before.
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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 of any liability for personal injury result- ing 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.

Covid-19 Release
I understand that, even with strict protocols in place, the CTA cannot control all possible exposure to Covid-19. I agree to keep my student home if not feeling well, and will not participate in the Ski Cubs Program. My student agrees to maintain at least 6ft of space between myself and other program participants who are not a part of our household. My student agrees to bring and wear a mask at times when adequate distance between others cannot be maintained. If my student is not willing to agree to these terms they will not participate in the CTA Ski Cubs Program.

Photo/Video Release
Unless otherwise indicated below, 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 Email
Parent/Guardian Phone (used for emergency contact)
Student Name *
Student School
Student Age
Is the participant...
Clear selection
Participant ski level (Please check beginner unless very confident skiing unassisted at a nordic center) *
My student will... *
Parent/Guardian would like to volunteer as a...
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Emergency Contacts: Please provide the name and phone number of two emergency contacts if the parent can not be reached *
Please list any medical concerns, issues, allergies, or medications that may effect the participant’s ability to participate in Ski Cubs or should be known in the event of a medical emergency.
Please list any accessibility needs that our staff should be aware of to best serve your student
Physicians Name and Phone Number
Demographic Information
We are required to collect this demographic information for grant funding purposes. It does not impact your child's ability to participate in the program, which is free to all students and schools. The information is anonymous and complied for the entire program, so your individual information will be kept completely confidential and never shared with anyone.  
Gender *
Race/Ethnicity *
Do you qualify for Free or Reduced Lunch *
Is your household income less than $40,000 *
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