• December 1, 2021 - February 23, 2022
    Monday & Wednesday, 3:30-5:30PM
    Invited ADT Skiers:
    Evan Bonnett, Adyson Bradburn, Kannon Breaux, Kolston Breaux, Victor Doronin, Carmen Karpoff, Clara Karpoff, Christian Kim, Abigail Kim, Karlyn Kocher, Dudley Krenz, Carter Lisherness-Gosney, Elliot McKnight, Jillian McKnight, Luella Michels, Maria Norby, Aiden Samson, Forest Saugen, Joey Simonet, Alex Shestakov, Soren Sorensen, Olivia Stay, Daisy Swart, Dexter Swart, Juliahna Tiegel, Bennett Werdell, Lochlan Werdell and Cyan Worden

Be sure to sign the PVNT Medical Release & Waiver. A link for the waiver will be sent with the confirmation email.

UPLOAD a current picture of your PVNT Skier to be used on their waiver.

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.

I understand that being a member of Plain Valley Nordic Team is a privilege, and by accepting a position on a team I am
agreeing to certain responsibilities. I understand that as an athlete representing PVNT my actions directly affect other
team members, the club, its coaches, staff and volunteers.

My signature on this form states that I agree to the following:

When in public, I will represent myself, my team, my parents, my coaches, and Plain Hardware by:
- Giving a friendly greeting to people we encounter on trails and at events.
- Being kind, friendly, respectfully, and helpful to all.

I understand that many people (coaches, race officials, fundraisers, parents etc.) are working hard to help me achieve my goals. I will treat them with the gratitude and respect they deserve.

I shall abide by the rules of the ski areas at which I race and train and by the rules of the competitions in which I race.

I shall abide by the US Ski and Snowboard Code of Conduct, as published in their Nordic Competition Guide.

I shall demonstrate good sportsmanship behavior at all times.

I shall abstain from the use of alcohol, tobacco, e-cigarettes, vapes and drugs.

I will communicate with team coaches if I am unable to make the regular training sessions, or if I am unable to stay for the duration of the workout.

I will ALWAYS wear my seatbelt when traveling in the team vans or in other vehicles.

I will ALWAYS wear a helmet and high-visibility clothing while roller skiing.

I shall abide by PVNT's "Return to Practice Plan" for Covid as published on the www.skiplain.com website.

I understand that participation with PVNT is a privilege that CAN be revoked. Every athlete will know and abide by the rules and will understand that violations of rules and policies will result in disciplinary action.

Parent/Guardian: I acknowledge that my child has agreed to abide by the above terms of Plain Valley Nordic Team membership.

Skier please sign below:

PVNT Concussion Waiver 
This sheet has information to help protect your children or teens 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 Help Keep My Children or Teens Safe? 
Sports are a great way for children and teens to stay healthy and can help them do well in school. To help lower your children or teens’ chances of getting a concussion or other serious brain injury, you should: 
o Help create a culture of safety for the team. 
o Talk with your children or teens about concussion and ask if they have concerns about reporting a  concussion. Talk with them about their concerns; emphasize the importance of reporting concussions and  taking time to recover from one. 
o Ensure that they follow their coach’s rules for safety and the rules of the sport. 
o Tell your children or teens that you expect them to practice good sportsmanship at all times.
o When appropriate for the sport or activity, teach your children or teens that they must wear a helmet to lower the  chances of the most serious types of brain or head injury. However, there is no “concussion-proof” helmet. So, even  with a helmet, it is important for children and teens to avoid hits to the head. 

How Can I Spot a Possible Concussion? 
Children and teens who 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 by Parents or Coaches 
Appears dazed or stunned. 
Forgets an instruction, is confused about an assignment or position, or is unsure of the game, score, or opponent.
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 Children and Teens 
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.” 

Talk with your children and teens about concussion. Tell them to report their concussion symptoms to you and their coach  right away.

Concussions affect each child and teen differently. While most children and teens with a concussion feel better within a  couple of weeks, some will have symptoms for months or longer. Talk with your children or teens’ health care provider if  their concussion symptoms do not go away or if they get worse after they return to their regular activities.

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. 

Children and teens who continue to play while having concussion symptoms or who return to play 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 child or teen for a lifetime. It can even be fatal. 

What Should I Do If My Child or Teen Has a Possible Concussion? As a parent, if you think your child or teen may have a  concussion, you should: 
1. Remove your child or teen from play. 
2. Keep your child or teen out of play the day of the injury. Your child or teen should be seen by a health care provider  and only return to play with permission from a health care provider who is experienced in evaluating for concussion.
3. Ask your child or teen’s health care provider for written instructions on helping your child or teen return to school.  You can give the instructions to your child or teen’s school nurse and teacher(s) and return-to-play instructions to  the coach and/or athletic trainer. 

Do not try to judge the severity of the injury yourself. Only a health care provider should assess a child or teen 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.

Discuss the risks of concussion with your child or teen and sign  below:


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