After school program HCS 2022

Participant Name*

First Last

Grade*

Name of Parent*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Gender

Other
Male
Female

My child is a:*

Skier
Snowboarder

Skier Level (select one)

Level 1 Beginner. Never skied before.
Level 2 Beginner. Some experience. Learning to snowplow.
Level 3 Beginner. Controlled snowplow turns. Rides Mighty-Mite.
Level 4 Advanced Beginner. Controlled snowplow turns. Rides T-Bar.
Level 5 Intermediate. Balances on outside ski to turn.
Level 6 Advanced Intermediate. Makes controlled parallel turns.
Level 7 Advanced.

Snowboard Level (select one)

Level 1 Beginner. Never boarded before.
Level 2 Advanced Beginner. Controlled stops & turns. Can ride Mighty-Mite.
Level 3 Intermediate. Links turns. Controlled stops. Rides T-Bar.

Do you need financial assistance?*

Yes
No

Are you receiving: (check all that apply)

Free and reduced lunch
Medicaid
CHIP
Other public assistance program
None

Does your child need rental equipment?*

Yes
No

Great! We will size kids for rental equipment on the first day of the program.

Does your family have a pass at Cochran's Ski Area (Passholders participate for free!)*

Yes
No

Program Fee

Price:

Program Fee

Price:

Program Fee and Equipment

Price:

Equipment Only

Price:

Cochran's Ski Area is dedicated to providing skiing and outdoor opportunity for all. Your child will be able to participate AND receive equipment (if needed) in this program for free.

Donation

Every After School Ski program is made possible by volunteer and parent time, contributions from generous donors, and your participant registration fees. Thank you for your involvement in the ski area! We fundraise to keep skiing affordable for all Vermont families, including those in need of financial and equipment support. If you would like to support the After School Program further, you can help support us with a donation. $5 - Cost per child per day $50 - Average Program Fee covered for those in need $70- Average Program Fee and Equipment Cost for those in need

Help?

Interested in helping to instruct skiing or snowboarding, helping on the mountain, helping in the lodge? YES! Check the box below and Kate will reach out!

I'd like to help.

Great! There will be a Volunteer Instructor Clinic on Saturday, January 2, 2020 from 1:00 to 3:00 PM. Will confirm meeting date/time and location. Volunteer Instructors, please plan to attend! Instructors will receive 7 free day passes for their participation!

Consent*

I am fully aware of the inherent risk and hereby give consent for the above named children to participate in the program offered by Cochran’s Ski Area and hereby release Cochran’s Ski Area, any of its elected or appointed officials, volunteers and instructors from any and all liability from injuries, claims, loss of services, expenses and/or damages that may be sustained by me or other minor children on account of his/her participation in said program or associated activities.

I agree

Signature*

Total

$0.00

Comments

This field is for validation purposes and should be left unchanged.

HCS Thursday ski program 2022