Emily Dickinson Snow Sports Program 16

Emily Dickinson Snow Sports Program 16 - 17
Coordinator - Gillian Walsh 425-281-3440 [email protected]
SSCS Contact - Ed Kiser 206-406-0986 [email protected]
The program starts Wednesday, January 11, 2017 at Summit Central Area and continues for six consecutive weeks finishing on February 15, unless
weather forces postponement. If a cancellation occurs, we automatically extend the program the number of trips missed.
The bus loads at 2:15 PM then proceeds to the STEM school to pick up ORCA students and returns to the STEM school at about 7:45 PM in the evening
dropping off ORCA students then returns to Dickinson about 8:00 PM. Registration is limited to the first 35 applicants. Adult chaperones will be on the bus.
This program is for first through fifth grade. Kindergarteners may enroll with special permission, please contact SSCS for details.
Classes begin at 3:45 PM and are 2 1/2 hours long. Lessons are taught by SSCS with thirty four years of teaching experience in the greater Seattle area.
To enroll submit the completed form and tuition to SSCS 204 165th Ave SE Bellevue, WA 98008.
Please do NOT send cash. Enrollment is secured on a first come, first served basis and registration must be accompanied with payment to secure your space.
Registration deadline is Tuesday, November 15, 2016. Seasons passes and season ski/snowboard rentals are not part of this tuition.
To receive a discounted seasons pass (which is required for all students) sign up for this program. Season Pass information will be emailed to you once
SSCS has received your tuition and registration form. Please be aware passes are purchased through the Summit @ Snoqualmie ONLY!
SSCS and Emily Dickinson Elementary will not be responsible for your passes. Direction for buying passes are enclosed with this registration form.
Deadline for ordering passes is Thursday, December 15, 2016.
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Emily Dickinson Snow Sports Application
Name_____________________________________________________________Grade Level________Age when lessons start__________
Address_________________________________________________________City/Zip__________________________________________
Parents Names____________________________Cell Phone 1_________________________Cell Phone 2__________________________
E-mail___________________________________________________________________________________________________________
If you would like to be in the same class as one of your friends/siblings please put their name(s) here:____________________________
___________________________________________Class placement will depend on the skill level of the student and the size of the class
Request will not be taken once classes are formed
Years of On-snow experience______
Class Placement What you can do at this time with few or no falls.
(___) New skier - no skiing experience.
(___) Beginning skier - can go straight and stop. Some turning. Needs help on the beginner chairlift hill. Green Circle runs.
(___) Wedge turn skier - links wedge turns. Skis independently on the beginner chairlift hill. Green Circle & some Blue Square runs
(___) Christie skier - can sideslip both ways. Finishes last half of turn with matched skis. All Blue Square & some Black Diamond runs
(___) Carving skier - can match skis in most turns with pole plants. Skis most advanced slopes. All Black Diamond runs
(___) ATAC skier - skis all terrain and all snow conditions including, deep snow and moguls.
Snowboarders must be 9 years or older.
If your child is younger than 9 years and has prior snowboarding experience they may be accepted into this program. Pre-approval is required. Contact Ed Kiser @ 206-406-0986 or [email protected]
(___) New snowboarder - no boarding experience.
(___) Beginning boarder - can side slip on toe and/or heel edge. Rides independently on the beginner chairlift hill. Green Circle runs
(___) Turning boarder - does toe/heel turns. Rides easier slopes on big chairs. All Blue Square & some Black Diamond runs.
(___) Fakie boarder - switches from regular to fakie while linking turns. Rides most advanced slopes. All Black Diamond runs.
(___) ATAC boarder - boards all terrain and snow conditions including, deep snow and moguls.
Tuition (___) 6 weeks of bus and lessons $325.00 Make checks payable to: SSCS - Total Enclosed_______
A portion of this tuition will go directly to your schools PTSA.
Parents (___) I would like to participate in a telephone chain to help notify other parents if the bus is late.
(___) I would like to be a chaperone for the entire six weeks. Up to 4 chaperones will receive a free bus ride and a daily lift ticket.
School Participation Agreement & Release I (we) recognize that skiing/snowboarding are hazardous sports that can results in serious injury or death. I (we) voluntarily made a choice to participate in this activity and accept the risks
inherent in skiing/snowboarding and in the ski area/mountain environment. I (we) accept my (our) responsibility to be informed, to behave prudently, to ski safely and to read and abide by the Skier’s Responsibility Code and all other
posted behavior notices. I (we) agree that I will not sue or make a claim against Emily Dickinson Elementary School, Emily Dickinson Elementary School PTSA, Lake Washington Public School District, Snow Sports Consulting
Service, LLC, Boyne USA Inc., or any of its owners, officers, agents, or subsidiaries, including but not limited to, Ski Lifts Inc., Crystal Mountain, Inc., and the U.S. Government or any of (their/its) employees, agents, contractors,
subsidiaries, officers (“Released Parties”) for any loss, injury or damage resulting from any cause including negligence, which arises out of my participation in any activity at the ski area, including but not limited to, use of the slopes,
equipment, or any of the facilities or services on the premises. I (we) further agree to RELEASE, HOLD HARMLESS, and INDEMNIFY Emily Dickinson Elementary School, Emily Dickinson Elementary School PTSA, Lake
Washington Public School District, Snow Sports Consulting Service, LLC, Boyne USA Inc., or any of its owners, officers, agents, or subsidiaries, including but not limited to, Ski Lifts Inc., Crystal Mountain, Inc., and the U.S.
Government or any of (their/its) employees, agents, contractors, subsidiaries, officers (“Released Parties”) for any loss, injury or damage which arises out of my participation as described above. This release is also binding as to any other
person, including all family members, heirs, and executors.
If I am signing on behalf of a minor: I accept full responsibility for all medical expenses and claims related to the minor’s participation in any activity as described above. I agree to RELEASE, HOLD HARMLESS, and INDEMNIFY
the Released Parties from all claims brought by or on behalf of the minor.
Students will be expelled from this ski/snowboard program without refund for being willfully disobedient, possession, use or sale of tobacco, alcohol, or controlled substances, vulgarity, stealing, gambling, fighting, leaving the ski
area or for using non-approved transportation. If the ski/snowboard program is canceled for a day(s), the program is automatically extended until the program is completed. If the program is not completed by March 22, 2017 any
remaining on-snow lessons and transportation will be refunded minus the trips taken. All other refunds are only considered if a student must withdraw based upon a doctor’s written recommendation.
Because of preseason costs, a $55.00 processing fee is charged to issue all refund checks. This program provides employment, services, and privileges regardless of race, color, creed, sex, religion, age or national origin.
I (we), the undersigned have carefully read and understand this “Participation Agreement & Release” and agree it is binding on me (us). Student sign and/or parent/guardian if the student is under 18.
Student Approval________________________________________________Parent Approval______________________________________________Date________________
Both Student and/or Parent/Guardian must sign the application prior to processing.
“Partners in Winter Recreation”
This program provides employment, services and privileges regardless of race, color, sex, religion, age or national origin.
Sign up through SSCS Snow Sports Program
Order by December 15th to ensure pass is delivered before classes begin! Please do not wait until the last minute to purchase
your student season pass.
Once you have turned in your registration form with full payment a Group Name and Password along with other directions
will be emailed to you to purchase your discounted seasons pass.
This is for SSCS students ONLY.
Season Pass Frequently Asked Questions - http://www.summitatsnoqualmie.com/tickets-and-passes/big-s-season-pass-faq