a brochure here.

Transcription

a brochure here.
(UNDER 18 - FORM MUST BE SIGNED BY A PARENT/LEGAL GUARDIAN)
I, the undersigned, or as a parent and/or legal guardian of:
________________________________________________
2014-’15 Season of Fun
PRST - STD
U.S. Postage
PAID
Permit NO. 6
Dresser, WI
54009
POWER TO AUTHORIZE MEDICAL TREATMENT
Only 50 minutes North of the Twin Cities!
(Attendee name or parent/guardian name of person under age 18)
recognize that medical treatment may become necessary
in participation with the Race Camp, and to avoid delay
of any necessary medical treatment and/or that which
would alleviate physical injury, hereby empower the staff of
Trollhaugen, Inc. or other designated persons to authorize on
my behalf recommended medical treatment of my child by
any staff member of any hospital, medical doctor, emergency
medical technician, and/or paramedic. This authorization is
complete and of itself fully operative upon my signature for
the duration of the Trollhaugen Race Camp.
OUTDOOR RECREATION
THANKSGIVING
RACE CAMP
_________________________________________________
Attendee or Parent / Guardian Name
_______________________________ _____/_____/____
Attendee/Parent/Guardian Sign Date
_______________________
Insurance Company
_______________________
Policy Number
_______________________
Doctor’s Name
_______________________
Phone Number
___________________________________ ___/___/___
Attendee Signature Date
________________________________________________
Parent / Guardian Name (If applicable)
___________________________________ ___/___/___
Parent/Guardian Sign (If applicable) Date
“Like” The Troll • facebook.com/trollhaugen
_______________________________________________
Attendee Name
OUTDOOR RECREATION
AREA
th
2232 100 Avenue • Dresser • WI • 54009
Phone - WI: 715.755.2955 • MN 651.433.5141
Ski & Board Shop - 715.755.2950
www.Trollhaugen.com • © 2014-2015
Authorization & Release
I, the undersigned, know that skiing is an action sport, carrying
significant risk of personal injury. Ski racing, practicing for
ski competition, and all of the activities taking place in order
to prepare for ski competition are dangerous and physically
demanding activities. I know that there are natural and manmade obstacles or hazards. Surface and environment conditions,
along with risks, may cause serious injury. I, the undersigned,
accept the inherent dangers of physical participation in such
skiing activities. I agree that I (and not Trollhaugen, Inc. , it’s
staff, or volunteers) am totally responsible for my safety while
I participate in these activities. I understand that attendees
may ride chair lifts unsupervised. I grant Trollhaugen the
right to photograph and/or record attendee and use, without
compensation, their image in advertising mediums.
AREA
Troll_Bro_Thanksgiving_Race Camp_2014
November 28 - 30
KIDS * HIGH SCHOOL * ADULTS
www.Trollhaugen.com
GO To The TROLL!
... because Trolls Run The Trolliest Camp!
Thanksgiving Race Camp
Nov. 28 - 30, 2014
Thanks To The Past Sponsors Of Door
Prizes & Gifts For Our Camp!
Applications Preferred by Nov. 21
($5 Late Registration Fee)
Name: _____________________________________
THE CAMP:
3 days, 5 hours each, dedicated to
Slalom & Giant Slalom skiing.
Address: ___________________________________
___________________________________________
Drills & progressions from the U.S. &
Canadian Alpine Teams to help improve
your skiing and racing.
Phone/Cell: _________________________________
Email: ______________________________________
THE SCHEDULE:
Daily Check In: 8:45am
Training 9:30am-3:30pm
Lunch 11:30am-12:15
Male Female (circle one) Age ___
2014 -’15 Season Pass Holder (Type)?
Full____ Mid.____ Sat.____ Sun.____ None____
INCLUDES:
Lift Tickets, T-Shirt, Lunch, and Training:
*Small Group Instruction
*NASTAR Type Courses
*Slalom Courses
*Video Imagery
*Video Evaluations
*Dry Land Training | Skill Development
Rates:
1 Day:
2 Days:
3 Days: INVESTMENT:
Ages 12 & Under, or Seniors 62+
1-Day: $100
2-Day: $130
3-Day: $155
Age 12 & Under or 62+
Age 13-61
$100 _____
$105 _____
$130 _____ $140 _____
$155 _____
$165 _____
Dates Attending: 11/28___ 11/29___ 11/30___
MAIL OR CALL TO REGISTER - OR - FOR MORE INFO:
Trollhaugen • 2232 100th Ave. • Dresser, WI • 54009
Phone - WI: 715.755.2955 Ext 223 • MN 651.433.5141 Ext 223
Ages 13 & Older
1-Day: $105
2-Day: $140
3-Day: $165
CALL FOR TEAM PRICING!
Nov. 28 - 30, 2014
Check In 8:45am
Training 9:30am - 3:30pm
Check In 8:45am
Training 9:30am - 3:30pm
Includes 5 Hours of Training Daily!
Season Pass Discount!
If you have a season pass for any of the
camp dates, deduct $10/Day for each
day that the pass is valid!
THANKSGIVING
RACE CAMP
AMOUNT: $________ CHECK #: _______
VISA MASTERCARD
- OR -
(please circle one)
ACCOUNT #: _______________________________
EXP. DATE: ___/___
3 DIGIT CCV# _____
BILLING ZIPCODE __________ -Subject to Cancelation Fee -
Trollhaugen.com
WI - 715.755.2955 • MN - 651.433.5141
Ski & Board Shop - 715.755.2950
Please complete the ‘RELEASE FORM’ on the back of this
panel to participate. See you on the haugen!