$

*Please select this option when completing billing information.




    RELEASE OF LIABILITY AND ASSUMPTION OF RISK
    The individual named below (referred to as "I" or "me") desires to participate in Nordic Ski Center/Club activities (the "Activity") provided by Plain Valley Ski Trails, a Washington State nonprofit corporation (the "Plain Valley Ski Trails") headquartered at 215 Lois Lane, Leavenworth, WA 98826.
    I am aware and understand that the Activity is a potentially dangerous activity and involves the risk of serious injury, disability, death, and/or property damage. I acknowledge that these risks may result from or be compounded by the actions, omissions, or negligence of Plain Valley Ski Trails employees or others, including negligent emergency response or rescue operations of the Plain Valley Ski Trails. I hereby expressly waive and release any and all claims, now known or hereafter known, against the Plain Valley Ski Trails, and its officers, directors, employees, agents, affiliates, volunteers, successors, and assigns (collectively, "Releasees"), on account of injury, illness, disability, death, or property damage arising out of or attributable to my participation in the Activity, whether arising out of the ordinary negligence of the Plain Valley Ski Trails or any Releasees or otherwise.
    I confirm that I am in good health, in proper physical condition, and do not have any medical or other conditions that would impair my ability to participate in the Activity. I will comply with all federal, state, and local laws related to the Activity while participating in the Activity.
    I shall defend, indemnify, and hold harmless the Plain Valley Ski Trails and all other Releasees against any and all losses arising out or resulting from any claim of a third party related to my participation in the Activity, including any claim related to my own negligence or the ordinary negligence of the Plain Valley Ski Trails.
    I hereby agree to allow PVST, PVNT, and/or PVAW to use and/or share photos or videos of myself or my child on marketing materials, social media such as FaceBook and Instagram for any purpose without compensation.
    I hereby consent to receive medical treatment deemed necessary if I am injured or require medical attention during my participation in the Activity. I understand and agree that I am solely responsible for all costs related to such medical treatment and any related medical transportation and/or evacuation. I hereby release, forever discharge, and hold harmless the Plain Valley Ski Trails from any claim based on such treatment or other medical services.
    I agree to notify Plain Valley Ski Trails immediately via phone at (509) 860-5420 in the event of an injury or accident and to complete a signed accident report immediately following the injury and submit it to Plain Valley Ski Trails.
    This Release constitutes the sole and entire agreement of the PVST. I hereby agree to allow Plain Valley Ski Trails to use and/or share photos and videos of me for any purpose without compensation.
    BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE Plain Valley Ski Trails.

    PVST Concussion Waiver
    This sheet has information to help protect you from concussion or other serious brain injury.

    What Is a Concussion?
    A concussion is a type of traumatic brain injury—or TBI—caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move quickly back and forth. This fast movement can cause the brain to bounce around or twist in the skull, creating chemical changes in the brain and sometimes stretching and damaging the brain cells.

    How Can I stay Safe?
    Nordic skiing is a great way to stay healthy. To help lower your chances of getting a concussion or other serious brain injury, you should:
    o Help create a culture of safety.
    o Enjoy the challenge, but stay within your comfort zone and progress at your own pace.

    How Can I Spot a Possible Concussion?
    People show or report one or more of the signs and symptoms listed below—or simply say they just “don’t feel right” after a bump, blow, or jolt to the head or body—may have a concussion or other serious brain injury.

    Signs Observed:
    Appears dazed or stunned.
    Forgets an instruction, is confused or unsure.
    Moves clumsily.
    Answers questions slowly.
    Loses consciousness (even briefly).
    Shows mood, behavior, or personality changes.
    Can’t recall events prior to or after a hit or fall.

    Symptoms Reported by a person who has experienced a concussion:
    Headache or “pressure” in head.
    Nausea or vomiting.
    Balance problems or dizziness, or double or blurry vision.
    Bothered by light or noise.
    Feeling sluggish, hazy, foggy, or groggy.
    Confusion, or concentration or memory problems.
    Just not “feeling right,” or “feeling down.”

    What Are Some More Serious Danger Signs to Look Out For?

    In rare cases, a dangerous collection of blood (hematoma) may form on the brain after a bump, blow, or jolt to the head or body and can squeeze the brain against the skull. Call 9-1-1 or take your child or teen to the emergency department right away if, after a bump, blow, or jolt to the head or body, he or she has one or more of these danger signs:

    One pupil larger than the other.
    Drowsiness or inability to wake up.
    A headache that gets worse and does not go away.
    Slurred speech, weakness, numbness, or decreased coordination.
    Repeated vomiting or nausea, convulsions or seizures (shaking or twitching).
    Unusual behavior, increased confusion, restlessness, or agitation.
    Loss of consciousness (passed out/knocked out). Even a brief loss of consciousness should be taken seriously.

    People who return to activity too soon—while the brain is still healing— have a greater chance of getting another concussion. A repeat concussion that occurs while the brain is still healing from the first injury can be very serious and can affect a person for a lifetime. It can even be fatal.

    What Should I Do I believe I or someone skiing with me has a Possible Concussion?:
    1. Stop the activity.
    2. You should be seen by a health care provider and only return to activity with permission from a health care provider who is experienced in evaluating for concussion.

    *Do not try to judge the severity of the injury yourself. Only a health care provider should assess for a possible concussion. Concussion signs and symptoms often show up soon after the injury. But you may not know how serious the concussion is at first, and some symptoms may not show up for hours or days. The brain needs time to heal after a concussion.

    Sign below to acknowledge the risks of concussion associated with skiing:


    $0.00


    Almost done. Where should we send the confirmation?

    RegFox Event Registration Software