I will study the PVAW training materials.

Using the “PVST Incident Report form”, I will report within 24 hrs. any incident that I know of that may have led to an injury or property damage.

I will not let anyone who is not an approved volunteer or employee attend or participate in any PVST activity or practice. I will not allow equipment or vehicles to be used by anyone who is not an approved volunteer or employee.

Waiver for Plain Valley Ski Trails, or its assigns,
In consideration of myself OR my child being permitted to participate in the Nordic Ski Center/Club activities (“Activities”) of the above named Nordic Ski Center/Club, I represent that I do, on behalf of myself OR child:

1. I acknowledge, agree and represent I fully understand the nature of Nordic skiing, any kind of dryland training, hiking, running, roller skiing, cycling, water sports, and Nordic Ski Center/Club activities, and that I am OR my child is qualified, in good health, and in proper physical condition to participate in such activities.

2. I fully understand that (a) Nordic Ski Center/Club activities involve inherent risks and dangers of serious bodily injury, and or death, (b) these risks and dangers may be caused by my own (or child’s) actions or inactions, or omissions, intentional or otherwise, or the actions or inactions of others participating in the activities, and/or the condition of which the Activities take place and/or the conditions of the Nordic ski equipment or other equipment, that I OR my child may use/rent/borrow for participating in any such activity.

3. I hereby agree to allow Plain Valley Nordic Team, Plain Valley Ski Trails, and/or Plain Hardware, to use and/or share photos and videos of myself or my child for any purpose without compensation.

4. I hereby agree for myself and for my child (if applies), to release, discharge, indemnify, and covenant not to sue the above listed Nordic Ski Center/Club or its parent organization, its respective administrators, directors, agents, officers, members, volunteers, and employees, any sponsors, advertisers, and if applicable, owners and leasers of premises of property on which the activities take place (each considered one of the “Releasees” herein) from all liability, claims, demands, losses or damages on my account caused or alleged to be caused in whole or in part by the negligence of the “Releasees” or otherwise. I further agree that if, despite this release, waiver of liability, and assumption of risk, that I, or anyone on my behalf OR on behalf of my child, makes a claim against any of the Releases, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost which may incur as the result of such claim.

5. I fully accept and assume all such risks and all responsibility for losses, cost, damages that I OR my child incurs as a result of my OR my child’s participation in the activities. My signature signifies that I fully understand and agree to be bound by this Release and Waiver Agreement, for myself and for my underage child (if applicable), and agree that if any portion of this agreement is held to be invalid the balance, not with standing, shall continue in full force and effect.

6. I agree to notify Plain Valley Ski Trails, immediately via phone at (509) 630-1107 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, located at 18636 Beaver Valley Road, Leavenworth, WA, 98826.

7. The term of this liability release shall be in perpetuity, or until cancelled in writing and delivered to Plain Valley Ski Trails, via certified mail.

QUESTION #1
By signing this PVST Liability Waiver, I agree to all terms.

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: