North East VermonT
Bill Koch Ski
League
(NEVT BKSL)
(one per family)
Name:
___________________________________
Street
Address: ___________________________________
Town:___________________________________________
State:__________ Zip___________
Phone: _______________________________
e-mail:
________________________________
Child
Participants (under 18):
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Name |
Date of Birth |
Gender (M/F) |
Distance* (15K/25K) |
BKL Member? (Yes/No)* |
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* Both courses are very hilly. The 25K is intended for hearty, adventurous skiers!! Estimated times for touring event: 2-4 hours (15K), 3-5 hours (25K).
* If you are not a Bill Koch Ski League Member, you will be asked to become a one day member for $2, payable at registration.
Adult Chaperones (18 and over)*:
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Name |
Child/Children
Chaperoning |
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* It is not required that every child have a chaperone but please use discretion based on your child’s age and ability. Also, those children touring without a chaperone are strongly encouraged to ski in a group.
Amount
owed:
|
Number of Child
Participates |
X |
$15 ($20 day of
event) |
= |
__________ |
|
Number of Adult Chaperones |
X |
$10 |
= |
__________ |
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TOTAL |
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__________ |
Make
checks out to Stowe Nordic Outing Club.
Completed entry forms, waivers and check should be either
·
mailed
to Deb Miller, 1425 Churchill Road, Morrisville, VT 05661 or
·
dropped
off at the Golden Eagle front desk or the Mount Mansfield Ski Touring Center
ALL FORMS MUST BE RECEIVED BY 12:00 on Friday, 1/10/03 or “day of event” rates will apply.
A
signed WAIVER must be included for all
child participants and adult chaperones.
Please fill out one waiver for each participant, sign and send in with
your entry form and check.
How
did you hear about this event?
VOLUNTEERS NEEDED to make this a success. Please contact Becky McGovern (253-2252) or
Deb Miller (888-7474).