Rokka Features Test

Rokka Ski School 2023 Application

First Name

Last Name

Date of Birth

Class Location: Rokka Ski School Building at Summit West DATES: Sundays: Jan. 9, 16, 23, 30 Feb 6, 13, 2022 9:30 AM—12:00 noon Race Day: February 27, 2022 9:00 A.M.

Do you have a doctor’s permit to participate in intense physical activities?

Yes

Please specify anything we should know about

Initials

I declare that the info I’ve provided is accurate & complete

Iamawarethatskiingisahazardoussportthatincludescertainrisksanddangers,includ- ing the risk of serious injury (or death). I voluntarily accept full responsibility for all risks in- volved, including risks inherent in skiing and in the ski area/mountain environment. 2. Iacceptmyresponsibilitytoskisafelyatalltimes,toabidebytheSkierResponsibility Code, and to obey all posted behavior notices and any other ski area rules and policies. Any equipment I use while skiing, I use at my own risk. 3. I agree that I will not sue or make a claim against Rokka Ski School, Rokka Ski Club, Rok- ka Ski Lodge, Boyne USA Inc., or any of its owners, officers, agents, or subsidiaries, includ- ing but not limited to, Ski Lifts Inc., Crystal Mountain, Inc., Alterra Mountain Company; and the U. S. Government or any of (their/its) employees, agents contractors, subsidiaries, offic- ers (“Released Parties”) for any loss, injury or damage resulting from any cause including negligence, which arises out of my participation in any activity at the ski area, including but not limited to, use of the slopes, equipment, or any of the facilities or services on the premis- es. 4. IfurtheragreetoRELEASE,HOLDHARMLESS,ANDINDEMNIFYRokkaSkiSchool,Rok- ka Ski Club, Rokka Ski Lodge, Boyne USA Inc., or any of its owners, officers, agents, or subsidiaries, including but not limited to, Ski Lifts Inc., Crystal Mountain, Inc., Alterra Moun- tain Company; and the U. S. Government or any of (their/its) employees, agents, contrac- tors, subsidiaries, officers (“Released Parties”) for any loss, injury or damage which arises out of my participation as described above. This release is also binding as to any other per- son, including all family members, heirs, and executors. 5. ThisReleasedoesnotapplytogrossnegligenceorintentionalacts. 6. IfIamsigningonbehalfofaminor,Iacceptfullresponsibilityforallmedicalexpensesand claims related to the minor’s participation in any activity as described above. I agree to RE- LEASE, HOLD HARMLESS AND INDEMNIFY the Released Parties from all claims brought by or on behalf of the minor

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Rokka Ski School 2023 Application

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