Application

Junior Jim Dandy Ski Club
Membership Form/Permission Slip
Membership Fee $15

Please print or type all information on the application and print the copy in portrait mode

Membership Fee Paid

Yes

Child have own equipment?

Yes

Child's Name________________________________	Birth date_________________	Age ____
Parent's Last Name___________________________	Parent's First Name____________________

Address_____________________________

City_______________________

State____

Zip__________

Home Phone_________________

Business Phone__________________

Cell Phone______________

Family Physician_____________________________

Physician's Phone_____________________________

In case of emergency, contact:

1.__________________________________________

Phone_______________________________________

2.__________________________________________

Phone_______________________________________

I give my permission for my child to attend the following trips: (please check)

Alpine Valley Ski Resort	1	___	Saturday	December 17, 2006
MLK Ski-Lebration-Crystal Mountain	2	___	Fri-Sun	January 6-8, 2006
Alpine Valley Ski Resort	3	___	Saturday	January 14, 2006 Race Training
Alpine Valley Ski Resort	4	___	Saturday	February 4, 2006 Snowboarding/Skiing
Summit at Banff, Canada	5	___	Sat-Sat	February 11-18, 2006
Sno-Gophers Carnival at Treetops	6	___	Saturday	February 27-29, 2006

I will make arrangements for my child to be at the designated meeting area no later than 7:30 am.    I will arrive no later than 4:45 p.m. to pick up him/her up.

I am willing for ___________________________________ to receive first aid treatment. I understand that, if necessary, I will be contacted if additional medical treatment is needed. During this event, I may be reached at the following:
____________________________________________________             ____________________
(Street Address, City)                                                                                                 (Telephone Number)

I understand that Jim Dandy Ski Club, Inc., the Jr. Jim Dandy Ski Club, its members, or participants are not liable for any injuries sustained or liable for equipment.
Please check:
I have received a copy and fully understand the Policies and Procedures of the Junior Jim Dandy Ski Club and hereby will abide to them.

                          ______________________________________                                ___________________
                                Parent's or Guardian's Signature                                                             Date

(2)

Junior Jim Dandy Ski Club
Policies and Procedure

CANCELLED TRIPS: Scheduled trips are subjected to cancellation due to unfavorable weather conditions and/or insufficient youth participation. No charge will be assessed to registered participants when the Ski Club cancel trips. The club will refund to the participants monies paid.

TRIP PAYMENTS: Payment for each trip is due no later than two (2) weeks prior to the day of the trip. When space is available on a trip and the two-week deadline for payment has passed, add-ons will be accepted. This space will be sold on a first come basis up to 5:00 p.m. the Wednesday before departure of the trip. This space will only be reserved with total payments of the cost of the trip.

REFUNDS: Total refunds are provided up to 2 weeks prior to departure of a trip. Total refunds will also be provided up to two days prior to the departure of the trip when replacements are provided by the participant or can be provided by the club. Requests for a refund must be submitted to the Chairperson of the Junior JDSC Committee before a refund will be processed.

WAITING LISTS: In the event a trip is sold out, a waiting list will be developed for interested youth. If space becomes available, participants will be contacted in the order they were placed on the waiting list. Payment for the trip will be due in accordance to the announced payment schedule.

Parents driving youth directly to the ski area must arrive at the ski area no later than 9:15 a.m. Late arrivals will not be insured a lift ticket or a ski lesson for the day.

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Please sign below to acknowledge receipt of policies and procedures

Parent Name (print)_______________________________________________________________

(Signature)______________________________________________________________________

Child's Name (print)_______________________________________________________________