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GWSD / GCSAPP Participant Agreement Form

Parents of every student participating in Colorado Backcountry led Choice Pass/GWSD programs must complete this form once each season. Thank you!

Participant Information

Today's Date(Required)
Student's Name(Required)
Parent's Name(Required)
Trips We Signed Up For w/ GWSD or GCSAPP(Required)
Registration occurs through the school, this just ties your information to specific trips. Thanks 🙂
MM slash DD slash YYYY
Gender
So that our staff can a) accommodate your needs, and b) assist you in the event of an emergency, please describe any present medical issues or past medical history.
What medications does your child take? What is the dosage and timing? Do they require assistance?
For students participating in the winter backcountry ski/snowboard trips: Please describe the backcountry ski/ride and safety equipment your child will use. Please let us know if you do not have any of the items on the list so we can try to help.
Please let us know if you have any special requests for your upcoming activity, including what you might like to learn, see, do or any accommodations required.
Emergency Contact Name(Required)

PARENT AND PARTICIPANT RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

In consideration of my child being allowed to participate in any way in an activity with Colorado Backcountry LLC (also doing business as Backcountry Bike Academy), including all related events and transport to and from the activities, I the undersigned, acknowledge, appreciate, and agree to, on their behalf, that:
1.(Required)
2.(Required)
3.(Required)
4.(Required)
5.(Required)
6.(Required)
7.(Required)
8.(Required)
9.(Required)
Electronic Signature Consent(Required)
Clear Signature