ANM ANCHORAGE REGISTRATION FORM (pdf)

ANR’s Alaska Nordic Masters 2014-2015
www.alaskanordicracing.org
Anchorage Masters Cross Country Ski Program
SESSION 1: November 17 - December 19, 2014
(5 weeks)
Check here: □ 1 Day/week: $115.00 □ 2 Days/week: $185.00 □ 3 Days/week: $235.00
□ 5 lesson punch card (good for any 5 lessons, Nov 17 – Dec 19, 2014): $110.00
Please pick your session day(s). If sessions are not full, they are subject to change.
□
Monday*
All abilities plus New Beginners and Training Group
Kincaid
6:30-8:00pm
□
Wednesday
All abilities plus Training Group
Kincaid
6:30-8:00pm
□
Wednesday
All abilities
Kincaid
9:30-11:00am
□
Friday*
All abilities plus New Beginners
Kincaid
12:00-1:30pm
SESSION 2: January 5 - March 6, 2015
(9 weeks)
Check here: □ 1 day/week: $185.00 □ 2 days/week: $295.00 □ 3 days/week: $370.00
□ 10 lesson punch card (good for any 10 lessons, Jan 5 – Mar 6, 2015): $220.00
Please pick your session day(s). If sessions are not full, they are subject to change.
□
Monday*^
All abilities plus Classic, New Beginners and Training Grp Kincaid
6:30-8:00pm
□
Wednesday
All abilities
Kincaid
6:30-8:00pm
□
Wednesday
All abilities plus Training Group
Service
6:30-8:00pm
□
Wednesday
All abilities
Kincaid
9:30-11:00am
□
Friday*
All abilities plus New Beginners
Kincaid
12:00-1:30pm
^ CLASSIC lessons will only be offered on Monday nights during Session 2. For more classic instruction please schedule a
private lesson.* New Beginners is for skiers who have never skied and cannot ski out of the stadium.
Please pay in full and no refunds. If practice is cancelled due to inclement weather, you may make it up with one of the
other session days. There will be NO practices on National Holidays.
SKIER INFORMATION
Name:___________________________________________
Cell Phone: __________________ Text: Yes No
e-mail: __________________________________________
(We communicate primarily through email and text so print neatly!)
Ability:
New Beginner
Beginner
Intermediate
Advanced
Training Group
Goals: _______________________________________________________________________________________
Any known Medical Conditions that the coaching staff would need to know about?
Yes
No
If Yes, Please state what:________________________________________________________________________
PROGRAM LIABILITY CLAUSE
I, ______________________________, choose to participate in the Alaska Nordic Racing Adult Training and Ski Program. I
understand that I will be participating in an active program and will not hold Alaska Nordic Racing, the coaches and/or
persons responsible in case of harm or injury for circumstances unknown.
__________________________________________
_____________________________
Signature
Date
□ I have marked my sessions above. Total Enclosed $________ Please make checks to: ANR
Please mail forms to: ANR c/o Joey Caterinichio ● PO Box 91967 ● Anchorage, AK ● 99509
For more information please contact [email protected] or www.alaskanordicracing.org/masters.html

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