Rochester Community Education 2017 Ski Club Registration Form

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Presentation transcript:

Rochester Community Education 2017 Ski Club Registration Form 2017 CLUB DATES: January 6, 13, 20, 27 and February 3, 10 (January 27th is a no-school day. Ski Club bus will leave at the regular time.) *If needed, February 19th is scheduled as a makeup date for weather cancellations. Registration Process: Online registration at www.rochesterce.org/register (with electronic agreement to our terms). OR complete this paper registration and return to Community Ed at Northrop no later than Dec 16th. Upon registration completion, an email receipt will be sent with instructions on purchasing a Night Ski Club Pass through Welch Village for the cost of $148.55 plus tax. Please select ONLY ONE of the following: Ski Club Bus Only $138 Ski Club Bus + (6) Ski/Snowboard Rentals without Helmet (HELMETS ARE REQUIRED!) $258 Ski Club Bus + (6) Ski/Snowboard Rentals with Helmet $288 Additional Information: Specific club information will be emailed to you from your school Ski Club Advisor. Parents/guardians are needed as chaperones! Contact Kerry at kenovotny@rochester.k12.mn.us for details. Ski Club Registration Deadline is December 16, 2016. Late registrations are not advised, but may be possible if space allows. Contact CE at 328-4000. Refunds/vouchers are NOT available for missed sessions as you are pass holders for the entire season. Weather related information can be found on the CE's Weather Line; 328-4010, on Facebook, or by visiting www.rochesterce.org/youth. School________________________________________________________________Grade____________ Child’s Name__________________________________ Birth date ________________ Gender M F Address______________________________________ City_____________________ Zip Code__________ PLEASE write clearly Parent/Guardian Emergency Information Second Parent/Guardian Emergency Information Name Email Phone Adult Initial Here I understand because of the nature of skiing, Welch, Rochester ISD, and its employees are not responsible for any injury that may occur. However, I authorize the staff to secure any emergency treatment my child may need. I also understand that Community Education requires helmets (rented or owned) to be worn by all ski/snowboarders while participating in CE Ski Club activity. Cash ________ Check # ____________ (Please make checks payable to Community Education) Visa MasterCard Discover Exp. Date ________ Card # __ __ __ __- __ __ __ __ -__ __ __ __- __ __ __ __ Parent signature________________________________ Cardholder’s printed name_________________________