BKL Registration 2016-2017

Welcome to the ski season!

For a successful start to our season, please follow these steps to get your child(ren) registered:

  1. Fill out the form below and click 'submit' when you finish.

  2. Pay the registration fees (instructions will appear after you click 'submit')

Questions? Call or email Brian Carlson at bcarlsonvt@yahoo.com or 279-9303.

* Required

Skier One
Enter as mm/dd/yy
Program Fees
Add up the costs above and enter the total amount you owe here. After you complete this form you will be directed to Paypal for online payment so remember the amount you enter here!
$
Mailing Address
Parent Information
Parent One
first and last name
Parent Two
first and last name
Waiver
Please read and sign the following Liability Release: NEW ENGLAND NORDIC SKI ASSOCIATION WAIVER AND RELEASE OF LIABILITY "NENSA". In consideration for the rights and privileges associated with membership in the New England Nordic Ski Association, I acknowledge and agree to be bound by the following: 1. Identification of Risks. I understand that participation in any skiing activity, including but not limited to, preparation for, participation in, and coaching of activities in cross-country ski competitions and clinics, involve risk of serious injury, including permanent disability, death and other losses, due to inactions or negligence of myself or others. 2. Assumption of the Risk. I agree that I am responsible for my safety while participating in activities associated with NENSA, and that such responsibility includes participation only a) when I am both physically and psychologically prepared to participate safely, b) after fully familiarizing myself with the venue before beginning the activity, and c) while using the equipment of a type and condition reasonably necessary to safely participate. I assume all risk connected with responsibility for any injury or loss connected with my participation. 3. Waiver. Aware of the risks and willing to assume them, I hereby release and agree to hold harmless the New England Nordic Ski Association (NENSA), its officers, directors, employees, agents, coaches, trainers, doctors, officials, volunteers, affiliates, event organizers, sponsors, owners of property and trails used by me (Released Parties) from loss, injury, or death to myself or to any other person, or other damage to person or property resulting from my participation in events and competition and any related activities including, without limitation activities in connection with sponsorship, organization or execution of any event and travel to and from such event, whether I may participate as an athlete, coach, volunteer, spectator, or in any other manner associated with NENSA. This release is intended as a waiver of any claim I may have whether based upon negligence, breach of warranty, contract or other legal theory, against any of the above Released Parties, accepting myself the full responsibility for any such loss, injury, death or damage which may result. I intend for this release to also apply to my relatives, personal representatives, heirs, beneficiaries, next of kin, and assigns. If any part of this agreement is determined to be unenforceable, all other parts shall be given full force and effect. This waiver does not release acts of gross negligence or willful and wanton misconduct of any party. 4. Insurance. I currently have, and agree to maintain throughout the time that I train and compete, valid and sufficient medical and accident insurance. I understand that this is my sole responsibility and release all persons and entities from providing this coverage for me. 5. Image. I grant permission to NENSA to use my name, and any photograph, video, image, results or record of me from any NENSA event for all purposes NENSA may choose. By submitting this form I have read these RELEASE AND WAIVER OF LIABILITIES, ASSUMPTION OF RISKS, AND INDEMNITY AGREEMENTS, and understand that I have given up substantial rights by signing it, and have signed it freely and without any inducement or assurance of any nature, and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law, and agree that if any portion of this agreement / release agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect and consent to my electronic signature below.
Name of the adult signing the waiver
Today's date
We Need Your Help!

The success of the program depends on parent volunteers - can we count on your help?

Coaches and Assistants: No experience necessary -- just a willingness to have fun with the kids and provide supervision on the trails.
Organizers: Help set up events and/or bring snacks for special events.

 

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