2010 Learn to Ski/Snowboard Registration Form - Hermon Mountain
Please Provide the following information if your child will be participating in the Lessons at Hermon Mountain.

Tots: 9:30 am Saturday Only______ Juniors: 9:30 am Saturday_____Sunday_____ Adult/Teen: 6:00 pm Friday___

FIRST SESSION____________ OR SECOND SESSION__________

Name of Participant: ________________________________________ Age: ___________
(Parent/Guardian) Name__________________________________________________________ Address________________________________________________________Email_____________________
Phone Number: _________________________________Cell Phone Number_____________________
Emergency Contact: ______________________________ Phone# _______________

 Hermon Mountain Agreement and Release of liability, please Read Carefully before signing
1. I accept for use as is the equipment given to me and accept full responsibility for the care of the equipment while it is in my possession.
2. I will be responsible for the replacement a full retail value of any equipment rented under this agreement but not returned to the rental shop.
3. I agree to reimburse and hold harmless the ski shop for any loss or damage of any kind, other than reasonable wear and tear, which results from the use of this equipment.
4. I agree to return all rental equipment by the agreed time in clean condition to avoid any additional charges.
5. I understand that there are inherent and other risks involved in this sport for which the equipment is to be used (snow skiing or snowboarding) that injuries are common and ordinary occurrences of the sport, and I freely assume those risks.
6. I understand that the ski-boot-binding system will not release at all times or under all circumstances, nor is it possible to predict every situation in which it will release, and therefore is no guarantee for my safety.
7. I hereby release the ski shop and its owners, agents and employees from any and all liability for damage and injury to myself or to any person or property resulting from the selection, adjustment and use of this equipment, accepting myself the full responsibility for any and all such damage or injury which may result.
8. I have made no misrepresentations to the ski shop in regard to my height, weight, age or skiing ability.
9. I verify that the visual indicators on my bindings correspond to the settings as shown on this rental agreement form.
10. All Instructions on the use of my rental equipment have been made clear to me, and I understand the function of my equipment.

I, the undersigned, have read and understand the rental agreement above.
(Parent/Guardian) Signature: _________________________________________________ Date: _____________

Send registration & payment to Susan Lancaster, 26 Homsted Lane, Hermon, ME 04401.   Make checks payable to PVSC.
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Office Use Only:
Rentals paid in full______________
Rentals paid weekly_____________
Junior Saturday___________ Adult Friday_____________
Sunday___________