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ski snowboard - bmbw.com

2018/2019 club registration Club Name: _____ Advisor Name: _____. Club Goes to: Boston Mills Brandywine Alpine Valley Mad River on: Mon Tue Wed Thur Fri Sat Sun Last Name: _____ First Name: _____. Address: _____ City: _____ Zip: _____. Home Phone: (_____) _____ Age: _____ Birthdate: _____/_____/_____ (Must be 8 years old by January 1, 2019). The undersigned, vouch for the ac- Email: _____ Ability: Beginner Intermediate Advanced curacy of the information provided and acknowledge that if any information is incomplete or false, that this application Emergency Contact Information: will not be processed. The undersigned Contact #1 Name: _____ Phone: (_____) _____.

Undersigned understands that RECREATIONAL SNOW SPORTS and the use of ski/snowboard equipment involve a risk of injury to any and all parts of the skier/snowboarder’s body. Undersigned hereby agrees to freely and expressly assume and accept any and all risks of injury to

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