Clone of 2025-26 Kitsap Ski School Registration Form

Documents Required for Registration
- Participant Picture required to complete this form
- Must also register with Stevens Pass for lessons and lift ticket (link available at end of form)
Additional documents required for participation
- A signed/initialed Kitsap Ski School Liability Release (part of this form)
- A signed Stevens Pass Liability Release
Participant Information
Participant First Name
Participant Last Name
M.I.
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender
Ethnicity (required as a 501c3 org)
Participant Cell Phone Number (we would most likely only use this to contact your child at the mountain)
Participant Email Address (we would use this to send informational group emails, like lost and found, weekly updates during the season, etc)

Confirmation Emailexample@example.com
Current Grade
What school does the participant currently attend?
Has the participant previously participated in Kitsap Ski School?
If Yes, What was the first Season Enrolled
What does the participant ride?
How did you hear about the program?
Parent 1 Information
Parent 1 Last Name
Parent 1 First Name
Parent 1 Email Address

Confirmation Emailexample@example.com
Parent 1 Home Phone Number
Parent 1 Cell Phone Number
Parent 2 Information
Parent 2 Last Name
Parent 2 First Name
Parent 2 Email Address

Confirmation Emailexample@example.com
Parent 2 Home Phone Number
Parent 2 Cell Phone Number
Current Residence Information
Street Address
Street Address Line 2
City
State
Zip Code
Mailing Residence Information (if different from above)
Street Address
Street Address Line 2
City
State
Zip Code

File Uploads
Please upload a picture of your participant here (picture of FACE ONLY), for administrative purposes, WILL NOT be published:

Browse Files
Must be one of the following file types: pdf, jpg, jpeg, png, gif Cancelof

Emergency Contact 1
Emergency Contact 1 Last Name
Emergency Contact 1 First Name
Emergency Contact 1 Primary Phone Number
Emergency Contact 1 Secondary Phone Number
Emergency Contact 2
Emergency Contact 2 Last Name
Emergency Contact 2 First Name
Emergency Contact 2 Primary Phone Number
Emergency Contact 2 Secondary Phone Number
Physician and Medical Information
Physician Last Name
Physician First Name
Physician Primary Phone Number
Physician Secondary Phone Number
Preferred Hospital
By clicking the button below, I certify that I have current Health Insurance for my participant:
Insurance/Health Coverage (Company)
Insurance Number
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns.
Please inform us regarding any other vital information we may need to know in the event of an emergency. Thank you.
As a parent or guardian of this ski school participant, I have read and agree with all rules posted by Kitsap Ski School on www.kitsapskischool.org/safety and all subpages. I also understand that the Central Kitsap School District Code of Student Rights and Responsibilities apply during bus transportation for this program. I consent to said minor's participation in the Kitsap Ski and Snowboard School and hereby release the Kitsap Ski School Board, directors, staff and chaperones of liability for accident or injury to said minor. I acknowledge the inherent risks in skiing and snowboarding.
I acknowledge the inherent risks in skiing and snowboarding. In the event of injury, I give permission for emergency medical personnel to render first aid to said participant. If my consult by phone or in person is unobtainable, I give permission for a qualified physician to implement care as deemed necessary for life or limb. I also consent to allow Kitsap Ski School Staff the ability to talk with medical staff about my child and allow them to share personal information from the program registration including all registration information and health insurance information.
I agree to provide a certified snow-sport helmet for my participant, and my student /participant agrees to wear his/her helmet while skiing or riding at Stevens Pass. I also understand that failure to follow these and all program guidelines may result in removal from the program without refund and the possibility of being banned from future participation.
I give permission for the Kitsap Ski School (KSS) to use photographs or video of my child taken at KSS sponsored events for marketing and publicity in KSS publications, its website and social media. No person or organization not affiliated with KSS may use, copy, alter, or modify KSS photographs or videography without the advance written permission of an authorized designee from KSS. To ensure the privacy of individuals and children, images will not be identified or labeled using full names or any personal identifying information.
Signature
Bus Location
Which location would you like to pick up and drop off at?
Program Selection:

PLEASE SELECT A DROP DOWN FROM ONE OF THE BELOW CATEGORIES!
Ski -Beginner
Ski - Novice
Ski - Intermediate
Ski - Advanced
Ski - Transportation Only
Snowboard - Beginner
Snowboard - Novice
Snowboard - Intermediate
Snowboard - Advanced
Snowboard - Transportation Only
Which ticket plan are you considering?
If you plan to rent gear, where will you get it (if you know)?
Registration is not fully complete until:
- You contact Stevens Pass through the link provided at the completion of this form to register and pay for lessons.
- You purchase a Stevens Pass season pass, or standby for details on obtaining the 6-day or 5th grade pass. Usually eary Dec.
Registration Fee in Dollars (make sure this says $425 before proceeding)
Cash, Check or Card
Check Verified (Staff Inputs Verification Code)
What is the check number?
Cash Verified (Staff Inputs Verification Code)
Scholarship Verification Code
Processing Fee in Dollars
Total Fee by paying with Card in Dollars (Cost, Fee and Tax)

Email
example@example.com
Should be Empty:

Kitsap Ski School Registration Form '26-'27

Kitsap Ski School Registration Form 2

Kitsap Ski School Registration Form 3

My Card Payment Total

Credit/Debit Card