Wilmot Mt Ski Trip!!!
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WILMOT MT SKI TRIP!!! WHEN: Wednesday, January 29, 2020 WHERE: Wilmot Mountain, Wilmot, Wisconsin TIME: We will leave MSN at 3:30 P.M. and will return to school at approximately 9:15pm Actual ski time is from 4:15 to 8:15pm Parents should plan to pick up students at the MSN Athletic Entrance promptly at 9:15pm WHO: Any interested 6th, 7th, or 8th grader FEE: Lift ticket price includes transportation. Please make checks out to CUSD95. SEASON PASS HOLDER and no rentals: $10 (transportation only) LIFT TICKET only (you have your own skis/snowboard) $30 plus $10 = $40 SKI/SNOWBOARD RENTALS: Lift ticket + ski or snowboard rental $25 + $30 + $10 = $65 Add $13 if you need a one hour ski or snowboard lesson. Add $8 if you need to rent a helmet. IMPORTANT ! If you are bringing your own snowboard, you MUST have a leash. Bring quarters for the lockers to store your belongings (lockers are $2) There is a cafeteria in the lodge. Extra money for snacks/drinks is suggested. No meal is provided. You MUST ski with a buddy, not alone. Ski patrol are on the slopes, and the teacher sponsors are available in the lodge. You must keep track of the time. All rental equipment should be returned to the rental office by 8:15 pm. All skiers/snowboarders should report to the lodge by 8:25 pm. There is a 1 hour group lesson available for $13 to anyone who wants one. It is strongly recommended for novice skiers and snowboarders. All forms [permission slip, waiver, Wilmot Mountain forms(2)], and checks made out to CUSD #95 are due to the office by Monday, January 27th. NO exceptions We must have at least 20 participants and have a limit of 40 students. Questions? Contact Mrs. Honegger at 847-719-3615. ADVENTURE CLUB SKI TRIP INFORMATION Name of student: Skier or Snowboarder? (circle) Renter or bringing equipment? (circle) Will you be renting a helmet? [if you are bringing your own Yes No snowboard, you must have a leash] Do you want a lesson? (Please circle)Strongly What is your level of skiing/snowboarding? (Circle) recommended for Novice/beginner skiers. Beginner Intermediate Advanced Yes No _____________________________________________ __________________________________________ Signature of Parent/Guardian Printed Name of Parent/Guardian ___________________________ Date LAKE ZURICH COMMUNITY UNIT DISTRICT 95 Field Trip Release Form Field Trip Destination: Wilmot Mt Ski Resort Date/Time: Wednesday, January 29, 2020 Sponsor: Adventure Club – Honegger Fee: Varies – Refer to Flyer Student Name: Sex: Grade: M F 6 7 8 Address: Home Phone: Mother’s Name: Work Number: Cell Number: Father’s Name: Work Number: Cell Number: Person to call if parents are unavailable Relationship: Phone Number: Any medical, physical, or dietary restrictions we should be aware of:_________________________________________ IF YOUR CHILD REQUIRES AN INHALER, EPI‐PEN, OR DIABETIC SUPPLIES, IT IS THE PARENTS’ RESPONSIBILITY TO BE SURE YOUR CHILD HAS THESE SUPPLIES WITH HIM/HER. Physician: Phone Number: Address: Insurance Provider: Policy Number: Address: I authorize the use of our family’s insurance:_________________________________________________________ Parent Signature My son/daughter has my permission to participate in this field trip to:_____________________________________________. I understand that all rules and regulations governing student conduct remain in effect while my child is on the field trip and that my child must be dressed properly and protected appropriately for the environmental conditions. I understand that if my child is in possession of/or under the influence of tobacco, drugs, or alcohol, permission is granted to the supervising adult to take all necessary actions should an emergency arise. In case of accident or incident requiring medical attention, if a parent/guardian or any of the people listed above cannot be reached, I authorize the school to take emergency actions deemed necessary, including the transportation of the student to a hospital, medical center, or physician for treatment. Parent Signature___________________________________________________________ Date:_____________________ LAKE ZURICH COMMUNITY UNIT DISTRICT 95 WAIVER AND INSURANCE DECLARATION – We/I, the parent(s) of ________________________________________________, a participant in the co-curricular athletic/extracurricular programs at Lake Zurich Middle School, recognizes and acknowledges that there are certain risks of physical injury and we/I agree to assume the full risk of any injuries, including death, damages or loss which may be sustained as a result of participating in any and all activities connected with or associated with this program. Please check the statement which applies: _____This student has purchased the group medical and hospitalization insurance offered through the school district. _____This student’s parent/guardian maintains separate medical and hospitalization insurance which covers the student’s participation in co-curricular/extracurricular activities. _____This student’s parent/guardian does not maintain separate medical and hospitalization insurance, but does assume full responsibility for the cost of medical treatment required by the student as a result of accidental injury sustained in school sponsored co-curricular/extracurricular athletic activities. ______________________________________________ __________________________________________ Signature of Parent/Guardian Printed Name of Parent/Guardian ___________________________ Date RESORT ACTIVITY, SKI SCHOOL & EQUIPMENT RENTAL RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS & INDEMNITY AGREEMENT WARNING: PLEASE READ CAREFULLY BEFORE SIGNING! THIS IS A RELEASE OF LIABILITY & WAIVER OF CERTAIN LEGAL RIGHTS INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION 1. Each person participating in the Activity (defined below) is referred to as “Participant.” I, the undersigned, am a Participant and, if a Participant is a minor/infant, I am the Participant’s parent or legal guardian. I understand that participating in ski and snowboard school, skiing, snowboarding, racing, ski simulation, training, snowshoeing, snowmobiling, cross-country skiing, snow biking, tubing, ice skating, pond skimming, sledding, horse-drawn sleigh rides, riding the alpine coaster, zip lining, using the ropes/challenge courses, trampoline or climbing wall, resort and vehicle tours, using freestyle or terrain park features, participating in other recreational activities, renting equipment and using the ski area facilities, including but not limited to use of the parking lots, walkways, lodges, restaurants, lifts, ski slopes, trails, and other equipment, for any purpose (the “Activity”), can be HAZARDOUS AND INVOLVE THE RISK OF PHYSICAL INJURY AND/OR DEATH. 2. I understand the dangers and risks of the Activity and that Participant ASSUMES ALL INHERENT DANGERS AND RISKS of the Activity, including those of a “skier” (as may be defined by statute or other applicable law) or other winter sports participant. 3. I expressly acknowledge and assume all additional risks and dangers that may result in property damage, physical injury and/or death, which may be above and beyond the inherent dangers and risks of the Activity, including but not limited to: Falling or loss of balance; icy, slick or uneven surfaces; avalanches, cornices and crevasses; collisions with natural or man-made objects, other people, snowmobiles and/or other motor or over-snow vehicles; bumps; moguls; tree wells and stumps; downed timber and other forest growth; rocks, drainage channels, streams, creeks, holes, debris, and other rugged mountainous terrain; marked and unmarked obstacles; unmaintained or unmarked trails/roads or trail obstructions; the negligence or failure of Participant, Ski Area employees, or other guest to act safely (including an instructor’s selection of terrain that exceeds Participant’s ability) or within their own ability including failure to stay within designated areas and comply with signage; falling snow or ice from natural or man-made sources; equipment malfunction, failure or damage; improper use or maintenance of equipment; misloading, entanglements, or falls from ski lifts; varying visibility, storms, lightning, hail, snow and other adverse weather; becoming lost or separated; lack of shelter; limited access to and/or delay of medical attention; Participant’s health condition, physical exertion, exhaustion, dehydration, hypothermia, altitude sickness, or frostbite; and/or mental distress from exposure to any of the above. I UNDERSTAND THAT THE DESCRIPTION OF THE RISKS IN THIS AGREEMENT IS NOT COMPLETE AND VOLUNTARILY CHOOSE FOR PARTICIPANT TO PARTICIPATE IN AND EXPRESSLY ASSUME ALL RISKS AND DANGERS OF THE ACTIVITY AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM, WHETHER OR NOT DESCRIBED HERE, KNOWN OR UNKNOWN, INHERENT OR OTHERWISE. 4. Participant assumes responsibility for maintaining control at all possible times while engaging in the Activity and for reading, understanding and complying with all signage, including instructions on the use of lifts. Participant must have the physical dexterity and knowledge to safely load, ride and unload the lifts. I understand that a minor Participant may use the ski lifts without an adult present or may ride the ski lifts with non-employee guests. I understand that snowmobiles, snowmaking equipment, and snow-grooming equipment may be encountered at any time, and that falls, collisions, and injuries are common. 5. If Participant rents equipment, I agree to