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!