SkiSparks wait list

Parent/Caregiver Name *

Email Address *

Phone Number *

Primary Language/Translator Needed?

Child First Name *

Childs Last Name *

Child's Date of Birth *

Is this your child's first time Cross Country Skiing? *

Child's Gender *

Child's Height

Child's Weight

Child's Shoe Size

Child's Ethnicity

African American

Asian American

Hispanic or Latinx

Native American/Alaskan

Native Hawaiian or Pacific Islander

White

Two or More Ethnicities

Does your Child Qualify for free or reduced lunch? *

How many adults live in your household? *

How many children live in your household? *

Household Income *

Is this a single parent household? *

Does your child have special needs that we should be aware of in order to best support your family?

Are you able/willing to volunteer? If so what roles would you be open to: (See role descriptions here: Https://www.myxc.org/roles) *

Leader: Main coordinator for the club and the point of contact for MyXC staff and families.

Director: Complete administrative tasks to create an Inclusive and welcoming club.

Outreach Coordinator: Connect and facilitate partnerships between MyXC and underserved communities.

Equipment Manager: Manage and Distribute rental skis.

Photographer: Take pictures at clubs meetings with personal camera/phone and share with club members.

Coach: Lead groups of skiers through weekly curriculum activities and games.

Assistant Coach: Ski along with a group of kids and lead games.

Sweeper: Ski in the back of a group and encourage kids.

I am not interested in volunteering

What club are you hoping to register for? (First choice) *

Is there another club that could work for you? (Second Choice)

If approved, would your child need equipment? *

Where did you hear about MyXC?

We have participated in the past.

A friend.

At my child's school.

Social Media.

Event at a local park.

Park and Rec. Department.

Other

Waiver Agreement *

Waiver *

Waiver: In consideration of my child/ward being allowed to participate in any way with MyXC related events and activities, I acknowledge, appreciate and agree that nordic skiing is an action sport carrying significant risk of personal injury, illness (ex: communicable diseases such as MRSA, influenza, and COVID-19), death or property damage. I also acknowledge that there are natural, mechanical and environmental conditions and risks, which independently or in combination with my activities, may cause property damage, illness, or severe or even fatal injuries to me or others. While particular rules, equipment and personal discipline may reduce these risks, the risks of serious injury and illness do exist. I, for myself and my child/ward, am responsible for: (a) my safety, and my child/ward’s safety while participating in any way in MyXC related events and activities and (b) providing, utilizing and maintaining that equipment necessary for the safe enjoyment of my participation in such events. I hereby release MyXC, the ski area, any sponsors or officials, and any agent, representative, officer, director, employee, member or affiliate of any person or entity named above, from any liability and all claims for damages for illness, death, personal injury, disability, or property damage resulting from my participation in MyXC events. I will accept and abide by the rules and regulations of MyXC and any other rules or regulations imposed by the organizers of any particular competition. I, the parent/guardian, assert that I have explained to my child/ward: the risks of the activity, his/her responsibilities for adhering to the rules and regulations, and that my child/ward understands this agreement. In connection with my participation, and the participation of my child/ward, with MyXC activities, I consent to photographs being taken and publication, display, and exhibition by the MyXC of the photographs and my name for the sole purpose of MyXC promotional activities, without any further compensation to me.

SkiSparks wait list