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ski club registration form - City of Dearborn Heights

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DEARBORN HEIGHTS SKI & SNOWBOARD CLUB<br />

2013<br />

SEASON<br />

MEMBERSHIP<br />

The <strong>Dearborn</strong> <strong>Heights</strong> Ski & Snowboard Club is for <strong>ski</strong>ers<br />

and snowboarders in grades 6-12. It provides members<br />

many services including: lessons, <strong>ski</strong>ing/boarding with<br />

other members and participation in any or all <strong>of</strong> the trips<br />

at reduced rates.<br />

MEMBERSHIP FEE<br />

$8.00 for <strong>Dearborn</strong> <strong>Heights</strong> residents, $12.00 for<br />

non-residents (See Application On Back) THIS FEE IS<br />

NON-REFUNDABLE.<br />

DEADLINE FOR MEMBERSHIP<br />

Submit applications to the <strong>Dearborn</strong> <strong>Heights</strong> Parks &<br />

Recreation Department by Monday, December 17, 2012. A<br />

late <strong>registration</strong> fee <strong>of</strong> $2.00 will be added to applications<br />

received after that date.<br />

TRIP FEES<br />

The cost <strong>of</strong> each trip will be: $34.00 per <strong>ski</strong>er, $41.00<br />

per snowboarder. This includes lift ticket, lesson ticket,<br />

pr<strong>of</strong>iciency patches and transportation. An $18.00 rental<br />

equipment package is available for <strong>ski</strong>s and snowboard.<br />

WEEKLY PERMISSION SLIPS<br />

The weekly permission slip with payment must be delivered<br />

to the Canfield Center by Wednesday 1:00 p.m. prior to<br />

each trip. This slip can also be sent by FAX (313) 791-<br />

3601 with payment by Visa, Discover Card or Mastercard,<br />

including expiration date. A DROP BOX is available at<br />

the entrance to the Canfield Center for deposits when the<br />

building is closed.<br />

CANCELLATIONS<br />

Cancellations may be made by calling the <strong>Dearborn</strong> <strong>Heights</strong><br />

Parks & Recreation Office at 791-3600 before noon Thursday<br />

prior to the Friday <strong>ski</strong> trip. A new slip must be filled out with<br />

the make-up date and returned by Wednesday 1:00 p.m.<br />

prior to the make-up <strong>ski</strong> trip. If it is a late cancellation or<br />

no-show a $10.00 bus charge payment must be attached.<br />

GENERAL INFORMATION<br />

Dec. 28th Day Trip: Depart 9:00 am, return 6:30 pm<br />

Jan. 4th EARLY DEPARTURE TRIP:<br />

Depart 1 to 1:45 pm, return 11:30 pm<br />

Jan. 11th Depart 3 to 3:45 pm, return 11:30 pm<br />

Jan. 18th Depart 3 to 3:45 pm, return 11:30 pm<br />

Jan. 25th MIDNIGHT MADNESS:<br />

Depart 3 to 3:45 pm, return 1:00 am<br />

Feb. 1st GROUND HOG ROAST:<br />

Depart 3 to 3:45 pm, return 11:30 pm<br />

Feb. 8th PACZKI NIGHT<br />

Depart 3 to 3:45 pm, return 11:30 pm<br />

Feb. 15th DI-NA-SKI:<br />

Depart 3 to 3:45 pm, return 11:30 pm<br />

Feb. 22nd Night @ the Knob:<br />

Depart 3 to 3:45 pm, return 11:30 pm<br />

Feb. 28th-<br />

Mar. 3, 2012 3 day/3 night trip to Killington, Vermont<br />

OVERNIGHT TRIP<br />

A special 3 day/3 night trip will be planned to Killington,<br />

Vermont on February 28, 2013 - March 3, 2013.<br />

SUPERVISION<br />

Club members will be supervised each trip by our adult<br />

sponsors. This includes the bus ride to and from the <strong>ski</strong><br />

area, in the <strong>ski</strong> lodge at the area and on the hill while <strong>ski</strong>ing.<br />

Students with questions or problems during a trip can<br />

find adult assistance at the <strong>Dearborn</strong> <strong>Heights</strong> Ski/Board<br />

table in the lodge.<br />

DEARBORN HEIGHTS PARKS & RECREATION<br />

1801 N. Beech Daly Rd.,<br />

<strong>Dearborn</strong> <strong>Heights</strong>, MI. 48127<br />

Hours: Mon. - Thurs. 8:00 a.m. - 5:00 p.m.<br />

Phone: (313) 791-3600<br />

Fax: (313) 791-3601


New Member<br />

DEARBORN HEIGHTS SKI/SNOWBOARD CLUB<br />

MEMBERSHIP APPLICATION 2013 SEASON<br />

E-Mail: ____________________________________<br />

Name:______________________________________<br />

Last First<br />

Address:________________________________<strong>City</strong>:_____________Zip:__________<br />

School:_________________Grade:_____Phone:________________<br />

_________________________________<br />

Special Medical Condition(s)<br />

Amount Enclosed:_________________<br />

Resident: $8.00 Non-Resident: $12.00<br />

(Check payable to "<strong>City</strong> <strong>of</strong> <strong>Dearborn</strong> <strong>Heights</strong>")<br />

I understand there is an element <strong>of</strong> risk in <strong>ski</strong>ing/snowboarding and I will not hold the <strong>City</strong> <strong>of</strong> <strong>Dearborn</strong><br />

<strong>Heights</strong>, the school, or the sponsors responsible for injury to my child or for loss or damage to his/her<br />

equipment. I also give permission for any picture taken <strong>of</strong> my child to be used on the <strong>club</strong>s<br />

E-Mail or Web site.<br />

LATE CHARGE $2.00 AFTER 12/17/12<br />

MEMBERSHIP & PROFICIENCY PATCHES<br />

Members should have their patches sewn on<br />

their jackets. Patches are our means <strong>of</strong> identification<br />

<strong>of</strong> each <strong>ski</strong>er's pr<strong>of</strong>iciency and ensures<br />

that they are receiving the proper instruction<br />

program.<br />

RECOMMENDED CLOTHING<br />

Thermal underwear, <strong>ski</strong> or snowboard socks,<br />

<strong>ski</strong> pants or jeans treated for water repellancy.<br />

A sweater and/or parka, a cap/hat, and heavy<br />

duty mittens are a must. We also advise a<br />

helmet for all <strong>ski</strong>ers and snowboarders.<br />

SAFETY CHECK<br />

A good safety check will include <strong>ski</strong>s, snowboards<br />

and boots and poles to ensure that boots are<br />

fitted correctly, <strong>ski</strong>s, snowboards and poles are<br />

in good condition and that safety bindings are<br />

adjusted for proper release. This should be<br />

done by a <strong>ski</strong> shop specialist.<br />

SKI INSTRUCTION<br />

The Mt. Holly Ski School has certified (PSIA)<br />

instructors. All students must take a lesson on<br />

each trip. Special arrangements will be made<br />

to teach the first time students. Lesson fees<br />

are included.<br />

BEHAVIOR POLICY<br />

* No smoking, drugs or alcohol<br />

* Students must not leave the <strong>ski</strong> area<br />

* No unruly behavior<br />

* No vulgar language<br />

* Students MUST return on the bus with<br />

the group.<br />

E-Mail<br />

Give us your E-Mail address and each<br />

week we will send you in<strong>form</strong>ation on<br />

upcoming Club activities. Most times<br />

we will attach a video showing our <strong>ski</strong>ers/snowboarders<br />

in action at Mt. Holly<br />

or at the last 4 day/3 night <strong>ski</strong> trip.<br />

The membership application <strong>form</strong> has<br />

a place to record your E-Mail address.<br />

Don't miss out!<br />

Deliver, Mail or Fax to:<br />

<strong>Dearborn</strong> <strong>Heights</strong> Parks & Recreation Dept.<br />

1801 N. Beech Daly<br />

<strong>Dearborn</strong> <strong>Heights</strong>, MI 48127<br />

Phone: (313) 791-3600<br />

Fax: (313) 791-3601<br />

(Check $36.00 Has own Skis<br />

one) $45.00 Rental Skis<br />

$54.00 Has own Snowboard<br />

$62.00 Rental Snowboard<br />

_________________________________<br />

Parent or Guardian<br />

SPONSOR<br />

The Nichols Ski & Patio Shop will be the <strong>Dearborn</strong><br />

<strong>Heights</strong> Ski & Snowboard Club choice<br />

for purchase <strong>of</strong> <strong>ski</strong> equipment and apparel.<br />

Nichols is located at 21938 Michigan Ave, between<br />

Monroe and Oakwood. Parking is at<br />

the rear <strong>of</strong> the store. A special discount will<br />

be given to <strong>Dearborn</strong> <strong>Heights</strong> Ski/Snowboard<br />

Club members.<br />

INFORMATION<br />

For additional in<strong>form</strong>ation call the <strong>Dearborn</strong><br />

<strong>Heights</strong> Parks & Recreation Department<br />

Monday - Thursday, 8:00 a.m. - 5:00 p.m.,<br />

at 791-3600. A staff member or the <strong>ski</strong> <strong>club</strong><br />

director will answer your questions.<br />

FAMILY DISCOUNTS<br />

Parents are welcome on scheduled trips. Parents/family<br />

members may purchase lift tickets,<br />

rentals and lesson tickets at a reduced rate.<br />

A one-time discount card must be purchased<br />

for $16.00. See our adult chaperone on duty<br />

in our <strong>club</strong> room on the third floor.<br />

VALUABLES<br />

Leave valuables such as: ipods, cell phones<br />

and other electronics at home. Use the <strong>ski</strong>/<br />

snowboard corral to keep equipment safe.<br />

Also, keep your money on your person in a<br />

zipped pocket. The lodge is used by other <strong>ski</strong><br />

<strong>club</strong>s throughout the area, unattended items<br />

do get stolen. The <strong>Dearborn</strong> <strong>Heights</strong> Parks &<br />

Recreation Department, it's volunteers or the<br />

<strong>City</strong> <strong>of</strong> <strong>Dearborn</strong> <strong>Heights</strong> are not responsible<br />

for lost or stolen items.<br />

WEB SITE<br />

We now have our own web site with in<strong>form</strong>ation<br />

about our <strong>ski</strong>/snowboard <strong>club</strong>.<br />

We will be up-dating this periodically with<br />

new in<strong>form</strong>ation and videos.<br />

Check out www.dearbornhts<strong>ski</strong><strong>club</strong>.org.

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