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Seaholm Groves Snow Club
Seaholm Snow Club


 
If you need help with any question, please click on the next to the item below. Many fields have required responses (indicated by *).
Price: $189.00 or $349.00


Product Code: 2017-18_SHS_SNOW

General Student Information

Student First Name*:


Student Last Name*:


Gender*:
  

Date of Birth*:
mm/dd/yyyy

Grade*:
  

School*:
  

Does The Student Have an Epi-Pen?*:
  

Does The Student Have an Inhaler?*:
  
Sports Information

Winter Sport*:
  

Number of Trips*:
  

Experience*:
  

Equipment Rental*:
  

Helmet Rental*:
  
Phone Numbers

Home Phone #:


Student Cell #:


Mom/Guardn Cell:


Dad/Guardn Cell:

Email Addresses

Student Email:


Mom Email:


Dad Email:

Pre-Participation Physical Exam

Physical Exam*:
  
Physical Form (Completed After 4/15/2017)
Athletic Participation Parental Approval Form

I Carry Accident/Health Insurance*:
  

Insurance Company Name:


Policy #:
Permission.  I/we give permission for my/our son/ daughter to join the Seaholm Snow Club and take part in the activities of the club. I/we release the sponsors and Birmingham Public Schools from any and all liability that may result from participation in the club. I/we have read all the information and agree to the policies set forth by the school and the club’s sponsors. I also understand that it is my child’s responsibility to take at least one certified ski/ snowboard lesson this season at Pine Knob and become certified with a patch indicating their level.

Parent/Guardian Permission*:
  

Student Agreement*:
  

Description Extended Information
 
Seaholm Snow Club - Weekly Skiing and Snowboarding at Pine Knob. You can attend all 8 trips or select the 4 trip option. Click the extended information tab just above for complete details. The Groves snow club will be joining us on Mondays. We will ride the bus together and go to Pine Knob on the same nights. The potential trip dates are:
  • December 11, 18
  • January 8, 15, 22, 29
  • February 5, 12, 26


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