Echo Valley School

Please print all information – One form for each individual participant

Student’s Name ______Age______

Address ______City ______Telephone______

Ski or (circle one)

Ability Level: Never Beginner Intermediate Advanced (circle one)

Poma Experience: Yes No (circle one)

The following four-week packages are offered at $80/package – Price DOES NOT include lift ticket

Choose a session:

Saturdays: January - 10:30 a.m. – 12:00 p.m. or 1:00 p.m. – 2:30 p.m. (circle one)

Sundays: January - 10:30 a.m. – 12:00 p.m. or 1:00 p.m. – 2:30 p.m. (circle one)

Please Note: If your child is under 5 years old you should be available for the child at any time during the lesson when he/she is ready to quit. We prefer parents wait and watch from the lodge, so as not to distract the child from the lesson.

Release Statement: I recognize that and/or are hazardous sports that can result in serious injury or death. I accept the risks inherent in skiing and/or snowboarding and in the ski area/mountain environment. I agree to release, hold harmless and indemnify Lake Chelan Ski Club, Echo Valley Ski School, Chelan Lions Club, and Echo Valley Ski & Tubing Area and its/their employees, agents, directors, agents, contractors, officers or owner from all claims for any injury or damage resulting from any cause, including negligence, which arise out of participation in or travel to and from Echo Valley Ski School. I also agree to hold harmless and indemnify Echo Valley Ski School, Lake Chelan Ski Club, Chelan Lions Club and Echo Valley Ski & Tubing Area for any claims brought by or on behalf of the minor.

Student: ______Total Due: ______Print Paid:______Parent or Legal Guardian: ______Print

______Signature

Mail Payment to: Echo Valley Ski School P.O. Box 99, Chelan, 98816