Race Program Fee Structure 2017 ______________________________________ 2017 Program Fee: $300 $300 Program Fee INCLUDES: Coach Program for 10 weeks (9:30-12:00, Saturday, January 7, 2017 thru Saturday, March 11, 2017) AND Race Entrance Fee for ALL Challenge Race Series Races including December 17, 2016 through Mountain Madness, Date TBD. 10-30% Discount if you register and pay early: Pay by November 30, 2016: Pay by Oktoberfest: Pay by May13, 2016: $270 $240 $210 with XMAS Camp: $405 $360 $315 10% Discount for each Additional Child (maximum combined discounts for early pay and additional child can be no greater than 30%): (Without XMAS Camp/With XMAS Camp) Pay Pay Pay Pay by by by by Saturday, January 7, 2017: November 30, 2016: Oktoberfest: May 13, 2016: First First First First Child: Child: Child: Child: $300/N/A, $270/405, $240/360, $210/315, Second Second Second Second Child: Child: Child: Child: $270/N/A, $240/360, $210/315, $210/315, Third Child: Third Child: Third Child: Third Child: $240/N/A $210/315 $210/315 $210/315 _____________________________________ U16/U18 (Ages 14-17) Coaching Sessions (10:00-11:30): $150 $150 Fee INCLUDES: Coaching Sessions for 10 weeks AND Race Entrance Fee for ALL Challenge Race Series Races including December 17, 2016 through Mountain Madness, Date TBD. 10% Discount or $135 if you register and pay by November 30, 2016. $270 including XMAS Camp. 10% Discount for one Additional Child applies (maximum combined discount no greater than 20% or $120 without XMAS Camp and $240 with XMAS Camp). _____________________________________ XMAS Camp for Racers 10 years and older as of November 30, 2016 Monday, December 26, 2016 thru Thursday, December 29, 2016 (9:30-3:30) $150 Camp Fee, if enrolled in Full Program or U16/U18 Coaching Sessions; $210 if not enrolled in Full Program or U16/U18 Coaching Sessions, for Camp only. Participants must register no later than November 30, 2016. AM training (9:30-11:30) will focus on technique; PM training will focus on tactics (12:30-2:30) and classroom/video analysis (2:303:30). Program concludes on Thursday with a race, awards and dinner. TITUS MOUNTAIN RACE COACHING PROGRAM 2017 PHILOSOPHY Titus Mountain Racer Coaching Program is a season-long program (10 training sessions) for participants age 6-18 that is designed to promote and support the development of fundamental alpine skiing skills. The training program is based upon the USSA Alpine Training System and Skills Quest program. The program goal is to create good skiers through racing. Emphasis is placed on having fun while developing new skills and nurturing a lifelong enthusiasm for the sport. PREREQUISITES Pre-registration is mandatory. Registration for 2017 will be open through 1/7/17. Participants must, at a minimum, be able to load & unload from a chairlift unassisted; and safely navigate down Intermediate (“blue square”) terrain. 2017 CALENDAR Program commences 1/7/17 & runs every Saturday morning through 3/11/17 (10 weeks). Each day’s session begins @ 9:30am sharp, and concludes with the participants of the program being released at Noon to parents/guardians to compete in the CHALLENGE Race. COST 2017 Program Fee is $300.00; Program Fee does include Challenge Race Series; Program Fee does not include lift passes. See Race Program Fee Structure 2017 for applicable early pay and additional child discounts, U16/U18 Coaching and XMAS Camp. 2017 Registration & Release Form Name: __________________________________________________ Age: _____ Date of Birth: ___________________ Male or Female: __________ Address: __________________________________________________________________________________ Phone #: _________________________ E-mail (for weekly info): __________________________________ Emergency Contact Name & Phone#: ___________________________________________________________ PERMISSION/RELEASE FOR MINORS PARTICIPATING IN 2015 RACE COACHING PROGRAM ___________________________________ has my/our permission to participate in the Titus Mountain Racer Coaching Program for the 2017 Season. I/We, as parent(s) or guardian(s), do hereby for ________________________________ , myself, my heirs, executors & administrators, remise, release & forever discharge Titus Mountain Family Ski Center, LLC and its owners, representatives, affiliates, officers, managers, directors, servants, lessors, agents, volunteers and employees, and their successors and assigns, from any & all claims, demands, actions or causes of action on account of referred. I realize that there is a risk in Skiing and Ski Racing and that Titus Mountain Family Ski Center, LLC and its owners, representatives, affiliates, officers, managers, directors, servants, lessors, agents, volunteers and employees, and their successors and assigns, are in no way responsible for any accident that occurs. I understand that this program is being provided through the cooperation of Titus Mountain Family Ski Center, LLC. I certify that the minor is my responsibility, and that the information above is accurate. I do hereby certify that to the best of my knowledge & belief; said minor is in good health. In case of illness or accident, permission is granted for emergency treatment to be administered. It is further understood that the undersigned will assume full responsibility for any such action, including payment of costs. I hereby advise that the above named minor has the following allergies, reactions or unusual physical condition which should be made known to Titus Mountain and/or attending medical personnel: _________________________________________________________________________________________________________________ (Please list medical conditions. If none, write the word “NONE”.) ___________________________________________________________________________ Signature(s) of Parent(s)/Guardian(s) __________________ Date _______________________________________________________________________________________ Printed Name(s) of Parent(s)/Guardian(s) Please make checks payable to & mail to: For more information, please contact: Titus Mountain Family Ski Center, LLC 215 Johnson Road Malone, NY 12953 Franz Fredericks Phone #: (518)483-3740 E-Mail: [email protected] ADDITIONAL CHILD ADDENDUM TO TITUS MOUNTAIN RACE COACHING PROGRAM 2015 REGISTRATION & RELEASE FORM (Child #2) Name: _________________________________________ Age: _____ Date of Birth: ___________________ Male or Female: ______ Address: __________________________________________________________________________________ Phone #: _________________________ E-mail (for weekly info): _______________________________________ Emergency Contact Name & Phone#: ___________________________________________________________ PERMISSION/RELEASE FOR MINORS PARTICIPATING IN 2015 RACE COACHING PROGRAM ___________________________________ has my/our permission to participate in the Titus Mountain Racer Coaching Program for the 2017 Season. I/We, as parent(s) or guardian(s), do hereby for ________________________________ , myself, my heirs, executors & administrators, remise, release & forever discharge Titus Mountain Family Ski Center, LLC and its owners, representatives, affiliates, officers, managers, directors, servants, lessors, agents, volunteers and employees, and their successors and assigns, from any & all claims, demands, actions or causes of action on account of referred. I realize that there is a risk in Skiing and Ski Racing and that Titus Mountain Family Ski Center, LLC and its owners, representatives, affiliates, officers, managers, directors, servants, lessors, agents, volunteers and employees, and their successors and assigns, are in no way responsible for any accident that occurs. I understand that this program is being provided through the cooperation of Titus Mountain Family Ski Center, LLC. I certify that the minor is my responsibility, and that the information above is accurate. I do hereby certify that to the best of my knowledge & belief; said minor is in good health. In case of illness or accident, permission is granted for emergency treatment to be administered. It is further understood that the undersigned will assume full responsibility for any such action, including payment of costs. I hereby advise that the above named minor has the following allergies, reactions or unusual physical condition which should be made known to Titus Mountain and/or attending medical personnel: _________________________________________________________________________________________________________________ (Please list medical conditions. If none, write the word “NONE”.) ___________________________________________________________________________ Signature(s) of Parent(s)/Guardian(s) __________________ Date _______________________________________________________________________________________ Printed Name(s) of Parent(s)/Guardian(s) (Child #3) Name: _________________________________________ Age: _____ Date of Birth: ___________________ Male or Female: _______ Address: __________________________________________________________________________________ Phone #: _________________________ E-mail (for weekly info): _______________________________________ Emergency Contact Name & Phone#: ___________________________________________________________ PERMISSION/RELEASE FOR MINORS PARTICIPATING IN 2015 RACE COACHING PROGRAM ___________________________________ has my/our permission to participate in the Titus Mountain Racer Coaching Program for the 2017 Season. I/We, as parent(s) or guardian(s), do hereby for ________________________________ , myself, my heirs, executors & administrators, remise, release & forever discharge Titus Mountain Family Ski Center, LLC and its owners, representatives, affiliates, officers, managers, directors, servants, lessors, agents, volunteers and employees, and their successors and assigns, from any & all claims, demands, actions or causes of action on account of referred. I realize that there is a risk in Skiing and Ski Racing and that Titus Mountain Family Ski Center, LLC and its owners, representatives, affiliates, officers, managers, directors, servants, lessors, agents, volunteers and employees, and their successors and assigns, are in no way responsible for any accident that occurs. I understand that this program is being provided through the cooperation of Titus Mountain Family Ski Center, LLC. I certify that the minor is my responsibility, and that the information above is accurate. I do hereby certify that to the best of my knowledge & belief; said minor is in good health. In case of illness or accident, permission is granted for emergency treatment to be administered. It is further understood that the undersigned will assume full responsibility for any such action, including payment of costs. I hereby advise that the above named minor has the following allergies, reactions or unusual physical condition which should be made known to Titus Mountain and/or attending medical personnel: _________________________________________________________________________________________________________________ (Please list medical conditions. If none, write the word “NONE”.) ___________________________________________________________________________ Signature(s) of Parent(s)/Guardian(s) __________________ Date _______________________________________________________________________________________ Printed Name(s) of Parent(s)/Guardian(s)
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