Sign Up 2018 Registration Dates: January 7, 14, 28, Feb 4 (Mondays) 2018. In the past we have skied on Fridays but Fridays are VERY busy. The lodge is very crowded which makes it difficult for students to keep track of their gear and things frequently get lost. Also, our kids have to wait in very long lines which cuts down on their ski time. After discussing it with Kelly Canyon we have decided that Mondays are our best option. Name* First Last Class Type & Level*Ski Level 1Ski Level 2Ski Level 3Ski Level 4Snowboard Level 1Snowboard Level 2Snowboard Level 3Snowboard Level 4School*(select a school)Middle SchoolJunior HighGrade Level*(select a grade)56789This program is currently only available for grades 5-9. For those in grades K-4, we look forward to seeing you in coming years!Parent or Guardian First Last Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* Registration Fee* Price: $20.00 Passes ($12.00 each)*(select one)4 lift tickets ($12 x 4)I have a season passIf you would like to purchase parent or sibling tickets, you will need to print out a copy of your child's registration and take it with you to the ticket office. Then they will allow you to purchase tickets at a discounted rate. Lessons (optional)(choose # of lessons)One Lesson ($10)Two Lessons ($10 x 2)Three Lessons ($10 x 3)Lessons are taught by Kelly Canyon instructors and are available for skill levels 1 and 2 only. Lessons ($11 x 3)* Price: $33.00 Level 1 skiers and snowboarders are required to take 3 lessons. Lessons are taught by Kelly Canyon.Bus Preference*Bus ABus BEither is fineBus Preference Bus A Bus B Either one is fine Bus ($15 x 4)* Price: $60.00 From Madison Middle School to Kelly Canyon Ski Resort, each day of the program. Bus will load at right after school at both Madison Middle School and Madison Jr. High. All who sign up for the program are required to ride the bus. (Why?) We have two busses, Bus A and Bus B. Please select your preference below. We cannot guarantee you will be assigned to the bus you prefer (we may run out of room). We offer this option for those who want to ride the same bus as their friends.Ski Equipment Rental (optional) Skis, Boots, Poles ($11 x 4) Helmet ($5 x 4) Rental equipment is made available through Kelly Canyon. Payments will be made using this form. Equipment will be picked up and returned at the ski resort each day of the program. If you are renting equipment, please download and fill out the Kelly Canyon rental form and bring it with you on the first day of the program. This form is required for all equipment rentals. Download the form HERE. Snowboard Equipment Rental (optional) Snowboard, Boots ($17 x 4) Helmet ($5 x 4) Rental equipment is made available through Kelly Canyon. Payments will be made using this form. Equipment will be picked up and returned at the ski resort each day of the program. If you are renting equipment, please download and fill out the Kelly Canyon rental form and bring it with you on the first day of the program. This form is required for all equipment rentals. Download the form HERE. Rental Equipment*Total $0.00 Insurance* I/We have insurance coverage which covers accidents. Company Name:*Policy Number:*Consent* I/We have read and agree with the iSkiRexburg Waiver below Show Full AgreementiSkiRexburg Waiver I, the undersigned, am fully aware and understand the potential risk involved with my, or my child’s participation in this physical activity. Dangers could include, but are not limited to cuts, bruises, broken bones and other debilitating or permanent physical and emotional injury, damage to personal property, or death. I acknowledge that I voluntarily participate, or allow my child to participate, in this program. I hereby agree to assume all risk of injury, damage to persons and property, or death, and to hold iSkiRexburg, LLC, its officers, agents, volunteers or employees; Kelly Canyon, its officers, agents, volunteers or employees; and Madison School District, its officers, agents, volunteers or employees harmless from any liability for any injuries, or claim for damage, damage to goods, or death that may arise in connection with participation in this program. This Release, Waiver and Assumption of Risk also pertains to any actions of negligence by iSkiRexburg, LLC, its officers, agents, volunteers, or employees (excepting only the sole negligence or willful misconduct of iSkiRexburg, LLC) which may have caused or contributed to the injury, damage, or death. This Release, Waiver, and Assumption of Risk shall be binding upon my heirs and dependents as well as myself. I allow my child to participate freely and voluntarily in this activity and expressly assume all the risk of this program. In the event of illness or injury, iSkiRexburg, LLC is authorized to seek medical treatment and care for the above-named participant. I understand that by iSkiRexburg, LLC reserves the right to take photos and videos of individuals participating in team sports and programs. The department may use the photos in upcoming recreation guides or promotional advertising without paying compensation to any individual or entity for the likeness, image, name, and/or signature of any adult or their child in photographic or other works appearing in any and all media (presently known). In the absence of a signature, fees paid and participation in the program and all its related activities shall constitute acceptance of the conditions set forth in this release.Parent/Guardian Signature**Click the button below to pay through PayPal. Your child will not be registered for the program until your payment is complete so please make sure you receive a confirmation email for both registration AND PayPal payment.