VALLEY GARDENS OVERNIGHT SKI & SNOWBOARD TRIP November 2017 Dear Parent(s)/Guardian(s): Valley Gardens is pleased to offer an exciting opportunity for your son or daughter. Interested grade 7 & 8 students will be provided with basic training and the opportunity to experience Skiing or Snowboarding by participating in an overnight trip to Asessippi, Manitoba. The overnight trip will take place February 8 th & 9th, 2018. The bus will leave the school at 6:00 a.m. and will return at approximately 7:30 p.m. the following day. At the hill, students will participate in an instructional session with a certified ski/snowboard instructor prior to hitting the slopes. Once experienced skier/snowboarders have passed the instructors test, they are able to hit the slops on their own. Further lessons will be given on an on-going basis to those students who require them. Students will also have the opportunity to swim and use the waterslides at the Russell Inn. Included in the package is a Pizza Hut Buffet for dinner and a hot breakfast the next day. Teachers from Valley Gardens will be supervising in the hotel, on the slopes and in the chalet. In addition, there will also be qualified instructors and ski patrols from Asessippi on the slopes and lifeguards at the hotel. STUDENT REGISTRATION PROCESS- Package Information Space has been tentatively booked at the Russell Inn and on the bus for 48 students. This trip is open to Grade 7 and 8 students that will be selected on a first come first served basis. 1. Complete Ski/Snow Board Package Cost = $ 250.00 Transportation, Accommodation, Rental Equipment (including boots, skies/board and helmet), 2 Day Lift Ticket, Instruction, Pizza buffet, hot breakfast 2. Package for Students with own Ski/Snow Board Equipment ** Cost = $ 206.00 Transportation, Accommodation, 2 Day Lift Ticket, Instruction, Pizza buffet, hot breakfast **Approval of equipment is required by supervising staff prior to trip departure. Helmets are required. See Next Page for Registration Details
Registration Process To avoid disappointment, submit your registration forms and cheques, made out to Valley Gardens Middle School on Friday, December 8 th, 2017. Students will line up single file outside the office area beginning at 7:45 a.m. At this time, the students must submit a $100.00 non-refundable** deposit. Students are accepted on a first come first served basis. The balance of the payment is due on or before Tuesday, January 23rd, 2018. Students may pay the full amount in December if they wish. ** If we are unable to proceed due to low interest, your money will be returned to you. SAFETY PRECAUTIONS We recognize the inherent dangers that can be associated with skiing and snowboarding. We also recognize that value in learning new sports and being physically active outdoor. The following precautions will be taken to ensure your child has the skills necessary to remain safe while learning to ski or snowboard. There will be three mandatory, pre-trip meetings for all students participating in this activity. At this time, trip details, rules/procedures, and alpine safety will be reviewed. Attendance will be taken at the meetings and those students who do not attend may be removed from the trip. These meetings will begin approximately 3 weeks prior to the trip. They will be held over the lunch hour from 11:20 12:15. At the hill students are required to take lessons (included) from certified instructors to give them the skills they need to navigate the hill safely. The instructor/ski patrol will be in charge of evaluating each child s skill level and giving them permission to attempt new and more difficult runs. Lessons and instruction will be available throughout the two days. Please contact Mr. Harmacy at the school if you have any questions, or require special payment options. Email: sharmacy@retsd.mb.ca Phone: 204-668-6249
Registration Form Office Use: Date: Payment method: Cheque (check names) Cash Receipt # LAST NAME: FIRST NAME: Grade DEN Teacher Package selection Please check the package you are choosing 1. Complete Ski/Snow Board Package Cost = $ 250.00 Transportation, Accommodations, Rental Equipment (including boots, skies/board and helmet), Lift Ticket, Instruction, Dinner/Breakfast Skiing or Snowboarding 2. Package for Students with own Ski/Snow Board Equipment ** Cost = $ 206.00 Transportation, Accommodations, Lift Ticket, Instruction, Dinner/Breakfast **Approval of equipment is required by supervising staff prior to trip departure. Helmets are required. * * It is recommended that students lock their equipment when it is not in use at Asessippi. Locks can be rented for a refundable $5.00 fee. The school is not responsible for the cost of lost or stolen equipment. Parent/Guardian Signature Please fill in the medical information for your son/daughter on the next page. All information below is a required in order to be eligible for the trip. It will be on hand at the hill for our immediate referral should an emergency arise.
ASESSIPPI SKIING AND SNOWBOARDING HEALTH FORM Student s Name: Date of Birth (D/M/Y) Address: Postal Code: Home Phone: Name of Parent or Guardian: Cell Phone: Work Phone Mother: Father: Address: If parent cannot be reached, give name of another responsible person that may be contacted in case of emergency. Name: Name of Family Doctor: Phone: Phone: Manitoba Health Insurance Number: 6 digit # 9 digit # Other Medical Insurance Numbers: Insurer Name Policy Number * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * a) Does your child have any allergies? YES NO If so, state: b) Does your child require an Epipen? YES NO If yes, your child is required to carry it on his/her person at all times. c) Will your child be wearing wear glasses or contacts while participating in this activity? If yes, please specify. Glasses Contacts YES NO d) Does your child take medication regularly? Why? What type? e) Can your child independently look after their own medication? YES NO f) Would you like a teacher supervisor administer their medication? YES NO f) Please list other problems we should know about (recent illness or injuries): To the best of my knowledge, my child is in good health and may participate in all activities. Date: Parent/Guardian Signature:
IJOA-E9 PARENTAL INFORMED CONSENT FOR OUT-OF-SCHOOL ACTIVITIES SKI OR SNOWBOARD EDUCATION PROGRAMS PARENTAL INFORMED CONSENT FOR OUT-OF-SCHOOL ACTIVITIES This letter is to be reviewed, signed and returned before the student is able to attend the out of school activity listed below. Students will be attending the overnight Ski and Snowboard trip located at Asessippi Resort, Manitoba. This event will occur on February 8 & 9, 2018. Students will be transported to Asessippi using a bus chartered through Beaver Bus Lines. Attached in this document is information regarding safety concerns and protocol related to the Alpine Code of Conduct. Please ensure they are reviewed at home. Costs related to this event been outlined in the registration form. ------------------------------------------------------------------------------------------------------------------------- Board Responsibilities: The board will make every reasonable effort through the application of its policies and procedures, to provide for thorough preparation and planning and implementation of out of school activities undertaken by its employees, agents and officers. Informed Consent: Activity Title Asessippi Ski/Snowboard Trip Date of activity February 8 & 9, 2018 Name of Student (please print): I / We acknowledge that skiing and snowboarding are physically demanding sports with inherent risks which are beyond the control of Asessippi and River East Transcona School Division. Falls, collisions and other incidents may occur and cause injury. Skiing/snowboarding equipment is designed to minimize such risks, but it does not eliminate them. Skiers and snowboarders assume these inherent risks and dangers. I / We understand that, in case of emergency medical or hospital services being required by the above-listed participant, and with the understanding that every reasonable effort will be made by the school/hospital to contact me, my signature on this form authorizes the board, through its employees, agents, and officers, [to] secure such medical advice and services as they deem necessary for my child s health and safety, and that I shall be financially responsible for such advice and services.
I / We understand that the Rules and Regulations pertaining to this activity are designed for the safety and protection of participants I / We acknowledge my right to obtain as much information as I require about this program or activity and associated risks and hazards, including information beyond that provided to me by the school. I / We acknowledge that it is my responsibility to advise the school of any medical and/or health concerns of my child that may affect his/her participation in the stated program or activity. I / We understand that the choice to participate brings with the individual the ASSUMPTION OF RISK which is part of those activities. I / We understand and agree that this is a part of the school program. I/We also understand that as a result of participating in this program that the participant is expected to follow the school procedures and code of conduct and that any deviations from these may result in consequences from the school administration. Alpine Responsibility Code The Alpine Responsibility Code (attached) was developed by the Canada West Ski Areas Association and the National Ski Areas Association. The Alpine Responsibility Code is being followed by Valley Gardens. All skiers/snowboarders must know and obey it. Skiers/boarders must always be in control. Asessippi may revoke a lift ticket for violation of the code or other unacceptable conduct. Skills Classification The skill levels of all skiers/snowboarders are assessed as one of novice, beginner, intermediate, or advanced. A description of each of these levels is attached. On the basis of these descriptions, categorize your child s skill level as: Skier Snowboarder Novice Beginner Intermediate Advanced I / We declare having read and understood the above INFORMED CONSENT AGREEMENT in its entirety and hereby consent to participate being aware of all the foregoing. By signing this consent form, I / We give permission for (name of student) to participate in the snow education program to be held at (name of resort) on (date). Further, we acknowledge that (a) we have read and understood all warnings contained herein; (b) any information we have provided is, to the best of our knowledge, complete and accurate; and (c) we agree to adhere to all rules and procedures associated with this trip. Parent/Guardian Signature Date