P.O. BOX 171 GRAFTON, WI 53024
                  262-242-0002
              snowstar@sbcglobal.net
SNOWSTAR SNOW SPORTS SCHOOL, INC.
RELEASE, WAIVER, INDEMNITY AGREEMENT AND
TRIP EMERGENCY FORM 
Click Here to read the Snowstar Snow Sports School, Inc.
Minor Release, Waiver of Liability and Indemnity Agreement
Emergency Form
* - indicates required field.
 
*Parent First Name *Parent Last Name
Address
City State Zip Code
 
*Primary Phone Number Please enter ALL phone numbers like this 2623870002. No hyphens or spaces.
Alternate Number  
Emergency Contact
This is who we call if we can't reach you while on a trip.		 Emergency Contact Phone Number  
Child #1
First Name Last Name  
 
Child #2
First Name Last Name  
 
Child #3
First Name Last Name  
 
Insurance Company Insurance Policy Number  
 
Childrens Physician Physicians Phone Number  
Headache Medication Which medication would you allow us to give your child for a headache?
Regular Medication If you sign up more than one child that uses regular medication, please list their name with their medication.  
Allergies to Medication If you sign up more than one child with a medication allergy, please list their name with their medication allergy.  
 
*Parent Permission By completing this form, clicking in the permission box and submitting the form, you are verifying that you are the parents or legal guardians of the child/children named in this application and that you have read, understand and agree to the Snowstar Snow Sports School,Inc. Waiver and Release Form. You are also giving permission for the child/children to attend Snowstar trips. You and your child/children also agree to abide by all rules of conduct set forth by Snowstar Snow Sports School,Inc. In case of emergency, you also agree to grant permission to the Snowstar Snow Sports School,Inc. or the person designated to be in charge, to secure treatment for your child/children.



When finished please click the "SUBMIT" button ONCE. If you click more than once you will get an error. If this happens please call the office (262-242-0002) or send an email to snowstar@sbcglobal.net.