d’Youville S. S. 10815 Dixie Road, Brampton, Ontario L6R 2W5 Tel: 905-789-5560 Fax:905-789-1143 Dear Parents/Guardians, This year St. Marguerite d’Youville is again organizing a Ski/Snowboard Club. We are excited to get started but need to communicate and collect some important information first. It is vital to make students aware that because this is an out of school sports activity safety has a high priority. Students are expected to be careful with equipment on the bus as well as on the slopes. We expect students to be polite, cooperative and courteous on and off the slopes. As you well know, resorts will not tolerate activities that endanger the students or others. Most resorts require a “ski-off” or lesson. Resorts now also require all students to wear helmets when entering the terrain parks. This season we will be visiting Blue Mountain. We will be traveling by coach. Costs will vary depending on the resort prices and bus costs. Students will be expected to wear proper clothing (as determined by the weather), and take care of their own lunch meal. Our second outing has been scheduled for Friday February the 15th 2008 to Blue Mountain. We will be departing the school at 6:15 a.m. and returning by 5:30 p.m (subject to change). The cost for lift tickets with lesson will be $17.00. Ski and snowboard rentals : $8.00, Helmet rental : $3.00 and a coach fee of $30.00 (non-refundable). Check in with staff will be at 9:00 a.m. sharp at the resort. Students will be required to do a “ski-off”/lesson before hitting the slopes. Please complete the following handouts and return to Mr. Carreiro by Monday February 4th 2008. Also, every student must complete an OSBIE once at the beginning of the season. Please feel free to contact me if you have any questions or concerns. Thank you for your cooperation, Mr. A. Carreiro Please sign and return this form to school by Monday February 4th 2008. I give my son/daughter ________________ permission to participate in the outing to Blue Mountain on Friday February the 15th 2008. Package A Package B Package C Package D Lift & Lesson only Lift, Lesson & Rentals Lift, Lesson, & Rentals with helmet Seasons pass holder with their own equipment Package selection _____ Parent/Guardian signature:_________________________________ $60.00 $68.00 $71.00 $54.00 2007-2008 INFORMED CONSENT/PERMISSION FORM ____________________________________________ is arranging a trip to Blue Mountain (Name of School) Resort to Ski or Snowboard. This signed form is required for all students who wish to participate in this outdoor recreation program. INHERENT RISKS Skiing/Snowboarding is a sport with physical demands and inherent dangers. Falls, collisions and other incidents may occur and cause injury, which are beyond the control of “Blue Mountain Resorts Limited”. Skiers/Snowboarders MUST ASSUME the risks and dangers. EQUIPMENT Bindings on equipment reduce the risk of injury when falling. They will not release under all circumstances and they do not guarantee safety in all cases. My Child requires Ski Equipment_________ or Snowboard Equipment____________ My Child requires a Helmet _____________ Date of Birth ___/___/___/ M D Y M/F____ Height_____ Weight______ Boot Size_____ LESSONS The Ontario School Board Insurance Exchange mandates that all students participating in a ski/snowboarding day must participate in a 45 minute lesson. My child will be participating in the following lessons: Ski Lesson _______ or Snowboarding Lesson ______ SKIER/SNOWBOARDER RESPONSIBILITY CODE Ontario Snow Resorts Association (OSRA) has produced an Alpine Responsibility Code which Blue Mountain Resorts Limited requires that you know and obey (over). Blue Mountain Resorts Limited may revoke a student lift ticket for violation of the code or other unacceptable conduct. ACKNOWLEDGEMENT WE HAVE READ AND UNDERSTAND THESE WARNINGS AND HAVE IDENTIFIED MY CHILD’S SKI/SNOWBOARDING CLASSIFICATION AS: (Choose one only) Non-Skier/Snowboarder(1) – the student has never ______skied/snowboarded_____. Beginner(1) – The student has skied once or twice or a few times per year and has experienced and maintained control on a number of novice hills of varying difficulty. He/she is able to stop and turn with some success. Intermediate (2) – The student has skied/snowboarded on many occasions and has experienced a variety of hills and different ski areas. He/she can turn and stop under control using recognized formal techniques. Advanced (3) – The student is an experienced and competent skier/snowboarder. He/she has received formal instruction, knows and understands the Alpine Responsibility Code and can demonstrate ability at an advanced level. Dated: ______________Signature of Student: _______________________________ Signature of Parent/Guardian: ____________________________________________ Special Elective Menu: Student Combo Meal $6.00 (taxes included) Yes_________ No___________ This must be pre-arranged with your school coordinator Any requested toppings may be subject to additional charges. PERMISSION I give my son/daughter (please print)_________________________________________ Permission to participate in the outdoor recreation program to be held at Blue Mountain Resorts. NOTE: School groups under 18 yrs. old will not be permitted in Badlands Terrain Park. Date: ____________ Signature of Parent/Guardian: _______________________________ This form must be returned to the school at least 14 days before your trip. If this signed form is not returned no ticket will be issued. Do you have a 2007/2008 Season Pass? Yes_____ Type___________ No_____ Alpine Responsibility Code and Ticket Removal Policy information sheet enclosed for you to keep. To be completed in duplicate - Original returned to Blue Mountain Resorts - Copy for School File Terrain Parks Blue Mountain has the following trails designated as Terrain Parks: Greatest Hits, and Badlands. Posted 1. 2. 3. 4. 5. 6. 7. Terrain Park Rules This area has been designated and constructed as a terrain park for advanced riders and skiers only. There are many elements to maneuver over and around. Inspect the elements and terrain, their risks and degree of difficulty before participating. Use this park within your ability. Do not jump blindly, use spotters- Look before you leap! Obey the Alpine Responsibility Code at all times Helmets are mandatory SERIOUS INJURY AND EQUIPMENT DAMAGE CAN OCCUR By using this area you are assuming the risk of all such injuries in this terrain park ALPINE RESPONSIBILITY CODE There are elements of risk that common sense and personal awareness can help reduce. Regardless of how you decide to use the slopes, always show courtesy to others Please adhere to the code listed below and share with others the responsibility for a safe outdoor experience. 1 2 3 4 5 6 7 8 9 10 11 12 Always stay in control. You must be able to stop or avoid other people or objects. People ahead of you have the right-of-way. It is your responsibility to avoid them. Do not stop where you obstruct a trail or are not visible from above. Before starting downhill or merging onto a trail, look uphill and yield to others. If you are involved in or witness a collision or accident, you must remain at the scene and identify yourself to the Ski Patrol. You must use proper devises to prevent runaway equipment. Observe and obey all posted signs and warnings. Keep off closed trails and closed areas. You must not use lifts or terrain if your ability is impaired through use of alcohol or drugs. You must have sufficient physical dexterity, ability and knowledge to safely load, ride and unload lifts. If in doubt, ask the lift attendant Parents or guardians are responsible for their children’s activities on ski area property. Avoid going through Ski and Snowboard classes. The same goes for race courses, unless you are a participant. KNOW THE CODE. ITS YOUR RESPONSIBILITY. This is a partial list. Be safety conscious SKI/RIDE WITH CAUTION Be aware of changing conditions. Natural and man made obstacles exist. Snowmaking and grooming activities are continually in progress. Use caution and ski /snowboard only on designated slopes or trails. Everyone should realize that falls and collisions do occur and injuries may result and therefore, assume the burden of being in control at all times. BLUE MOUNTAIN TICKET REMOVAL POLICY To help maintain courteous skiing and snowboard at the resort, certain Blue Mountain personnel, ski patrollers, courtesy patrollers and lift operators have been given the authority to warn skiers and snowboarders, and if necessary, remove their lift tickets or Season passes for the following reasons: 1 2 3 4 5 6 7 Reckless skiing/snowboarding, high speed skiing/snowboarding, jumping or tucking (skiing/snowboarding out of control or straight down the hill in a crouch). When skiing/snowboarding downhill you must avoid the skiers, trail groomers, maintenance vehicles or objects below you. Skiing/snowboarding out of bounds (skiing/snowboarding on closed trails or on trails that are not lit during night skiing/snowboarding). Bouncing the chair or skiing/snowboarding out of the tracks on a surface lift (this could derail the cable). Impaired (use of alcohol or drugs) or carrying a wine skin. Abusive language (swearing and cursing). Splitting tickets (cutting lift tickets in half), or transfer of a Season Pass to another person. This is a fraudulent offence and the OPP will prosecute. Jumping out of a chair before the unloading area (this could derail the cable). PENALTIES 1st Violation: Day skiers will have their tickets marked or removed. Season Pass holder will have their passes marked or removed for a minimum of 24 hours and must pick up their pass at the Ski Patrol Headquarters. 2nd Violation: Season Pass holders will lose their pass for a minimum of 7 days and will have to pick up their pass at the Ski Patrol Headquarters. Further Violations or Violations of #6 or #7 Season Pass will be revoked without a refund THE DUFFERIN-PEEL ROMAN CATHOLIC SEPARATE SCHOOL BOARD LE CONSEIL DES ECOLES SEPAREES CATHOLIQUES ROMAINES DE DUFFERIN ET PEEL HEALTH AND SAFETY INFORMATION FORM SCHOOL NAME: St. Marguerite d’Youville Name of Child: _____________________________________________________________ Age:_______ Sex:______ Address: ________________________________________________________________ Date of Birth:____________ Family Doctor:_______________________________________________________ Telephone:___________________ Student Health Card Number:_______________________________________________________________________ The following information will be helpful to the teacher in making your child’s out-of-school visit more comfortable, safe and pleasant. All information will be held in the strictest confidence. 1. Has your child any special conditions which must be taken into consideration in his/her participation in the full program: Allergy:_________________________________________________________________________________________ Diabetes:________________________________________________________________________________________ Asthma:_________________________________________________________________________________________ Epilepsy:________________________________________________________________________________________ Feet or legs:______________________________________________________________________________________ Heart:___________________________________________________________________________________________ Rash____________________________________________________________________________________________ Recent illness or operation:__________________________________________________________________________ Rheumatic Fever: _________________________________________________________________________________ Any other disability:_______________________________________________________________________________ 2. Has he/she any drug allergy or sensitivity? If so give details.___________________________________________ ____________________________________________________________________________________________ 3. Has he/she any serum sensitivity? If so give details: __________________________________________________ ____________________________________________________________________________________________ 4. Give date of last tetanus shot and reason for it:______________________________________________________ ___________________________________________________________________________________________ 5. If your child has any special night-time habits, any special fears or nervous peculiarities, (e.g. bet wetting, nightmares) knowledge of which will allow the teacher to make his/her visit more relaxed, please state:_______________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ If it is necessary to elaborate on any of the above, please attach an additional page. _____________________________ __________________________ Signature of Parent/Guardian Date (please complete reverse side) MUNICIPAL FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT, 1989: Personal information on this form is collected under the legal authority of the Education Act, R.S.O. 1980. c.129 and Health Cards and numbers Control Act, 1991. This information will be used for the purposes of: planning and administering out-of-school programs for students, providing heath and safety services in the event of an emergency including provincially funded health resources and statistical analysis. Questions regarding this collection of personal information should be forwarded to the Dufferin-Peel Roman Catholic Separate School Board: 40 Matheson Blvd West Mississauga, Ontario, L5R 1C5. THE DUFFERIN-PEEL ROMAN CATHOLIC SEPARATE SCHOOL BOARD LE CONSEIL DES ECOLES SEPAREES CATHOLIQUES ROMAINES DE DUFFERIN ET PEEL MEDICAL CONSENT FORM SCHOOL NAME: St. Marguerite d’Youville We, the parents/guardians of _______________________________________________, herby consent to our child _________________________________________________ from _________________________ to_________________________________. Should it become necessary for our child to have medical care, I herby give the teacher permission to use his/her best judgment in obtaining the best of such service for our child. We understand that any cost will be our responsibility. We also understand that in the event of illness or accident, we will be notified as soon as possible. Signature of Parent/Guardian:________________________ Phone (day)____________ Address:_________________________________________ Phone (night)___________ Date:___________________ Provision of the information and consent request on this form is voluntary however it may be required for the health and safety of your son/daughter. The information provided will be held in confidence. OSBIE WINTER SPORTS PACKAGE ST. MARGUERITE D’YOUVILLE SKI AND SNOWBOARD CLUB NOTE TO PARENTS AND STUDENTS APPENDIX #1 St Marguerite d’Youville is arranging a trip for students to go to Blue Mountain to ski (snowboard,snowblade,tubing). This signed form is required for all students who wish to participate in this snow sport education program It should be understood that the purpose of the excursion is educational. Lessons are mandatory. INHERENT RISK Skiing/snowboarding/snowblading is a sport with physical demands and inherent risks which are beyond the control of Peel Catholic District School Board. Falls, collisions and other incidents may occur and cause injury. Participants will assume the inherent risks of the sport. Following all rules and procedures can reduce the risk of injury. Failure to follow rules will result in the student losing their lift ticket and future resort privileges. EQUIPMENT Blue Mountain provides rental equipment. Bindings on equipment reduce the risk of injury when falling. They will not release under all circumstances and they do not guarantee safety in all cases. Parents must accept responsibility for equipment that is lost or damaged (other than reasonable wear and tear). SKIER'S/SNOWBOARDER'S RESPONSIBILITY CODE The Ontario Ski Resorts Association has produced a Responsibility Code which Blue Mountain and Dufferin Peel Catholic District School Board requires that you know and obey. Skiers (Snowboarders/snowbladers) must always be in control and able to stop and change direction to avoid collisions with people or objects. Blue Mountain may revoke a ski ticket for violation of the code or other unacceptable conduct. ACKNOWLEDGEMENT WE HAVE READ AND UNDERSTAND THESE WARNINGS AND HAVE IDENTIFIED MY CHILD'S ABILITY CLASSIFICATION (SEE REVERSE) AS: (Choose one only - Non-Skier/Snowboarder/Snowblader - Beginner - Intermediate – Advanced) DATED:_________________________________ SIGNATURE OF STUDENT: _____________________________________________________ SIGNATURE OF PARENT/GUARDIAN: __________________________________________ PERMISSION I give my son/daughter_______________________________________________________________ permission to participate in __________ Ski /Snowboard/OTHER (write in specific Snow Sport) to be held at (name of resort) ___________________________________________________ DATED:_____________________ SIGNATURE:__________________________________ TO BE COMPLETED IN DUPLICATE - 1 COPY FOR SCHOOL FILE / 1 COPY FOR RESORT OSBIE Winter Sports Package Effective Date - November 2002 WWW.OSBIE.ON.CA SKILL CLASSIFICATION APPENDIX #2 All students must be classified according to the following plan. These stages are consistent with the operations of member resorts of the Ontario Ski Resorts Association. The classifications must appear on the Parent Consent Form and be checked off by the parents. (Appendix-1) NON-SKIERS/SNOWBOARDER/SNOWBLADER/TUBER: has never skied/snowboarded/snowbladed/etc.before. (write name of sport on the following line)______________________________________________________________ BEGINNER: The student has Skied/snowbarded/snowbladed/other (write name of sport on the following line)______________________________________________ once or twice or a few times per year and has experienced and maintained control on a number of novice hills of varying difficulty. He/she is able to stop and turn with some success. INTERMEDIATE: The student has skied/snowboarded/snowbladed/other (write name of sport on the following line) ______________________________________ on many occasions and has experienced a variety of hills and different ski areas. He/she can turn and stop under control using recognized formal techniques. ADVANCED: The student is an experienced and competent skier/snowboarder/snowblader/other (write name of sport on the following line) ___________________________________________ He/she has received formal instruction, knows and understands the Responsibility Code and can demonstrate ability at an advanced level. Such students can be called upon to assist in the program. SKI HELMETS MAY PREVENT HEAD INJURIES! Wear a ski helmet for safety! Be cool! Be safe! Use a helmet! OSBIE Winter Sports Package Effective Date - November 2002 www.osbie.on.ca APPENDIX #3 NAME OF RESORT:__________________________________________________ EQUIPMENT RENTAL AGREEMENT THE UNDERSIGNED AGREES to accept full responsibility for the care of the equipment listed in this form while it is in the possession of: ________________________________________________. Student Name THE UNDERSIGNED AGREES to reimburse the resort for any loss or damage to the equipment other than reasonable wear resulting from its use by: __________________________________________________. Student Name INDICATE EQUIPMENT TO BE RENTED: Skis - Yes___ No___ Boots - Yes___ No___ Poles - Yes___ No___ Snowboard - Yes ___ No___ Other - Please indicate: __________________________________________________________ Dated: ____________________________________________ Name of School: St Marguerite d’Youville SIGNATURE OF PARENT: ____________________________________________________________ SIGNATURE OF STUDENT: ____________________________________________________________ OSBIE Winter Sports Package Effective Date -- November 2002 www.osbie.on.ca LIFT USE GUIDELINES APPENDIX #4 To ensure that all students enjoy a good day of snow sports also means that they use both chairlifts and surface lifts safely. 1. Where applicable only those students who receive approval from the snow school staff, may use lifts other than those designated as beginner lifts. 2. All students must be aware of and obey signs posted around the lift loading and unloading areas and along the towpath. 3. While waiting their turn in a lift line, students must refrain from horseplay and prepare themselves for loading. 4. When approaching a loading area, students must obey instructions given by a lift operator and make sure the lift ticket is properly displayed. 5. a) b) c) When riding a chairlift, students must always use a restraining bar. Students must never bounce or rock chair in any way, and must remain seated facing uphill at all times. Students must never, under any circumstances jump from chairs. d) If a chairlift stops, students are to remain calm and wait until it restarts. In case of an emergency evacuation students are to remain calm and follow all instructions given by resort employees. e) When approaching an unloading area students must not lift restraining bar until instructed to do so by posted signs. When students clear the ramp, they must move away from the area adjacent to unloading ramp immediately. 6 a) b) When riding a surface lift, students must always remain in the designated towpath, and never attempt to slalom or to zig-zag on the way to the top. To unload anywhere outside of a designated unloading area must be avoided unless the lift stops and students are instructed to do so by the patrol or resort employees. In such an event everyone is to leave the towpath as quickly as possible. OSBIE Winter Sports Package Effective Date - November 2002 www.osbie.on.ca APPENDIX #4 Any student who falls while riding a surface lift, must clear the path immediately, so as not to interfere with others. d) 7. To ski/snowboard down a lift towpath is dangerous and strictly prohibited. Students must always: a) display their lift ticket; b) follow all instruction given by resort staff; c) behave in a responsible manner; d) be courteous to other students, other skiers, snowboarders and resort personnel; e) be aware of and abide by posted Responsibility Code. use only trails identified by the snow school instructor as appropriate for your ability. Know your group and the teacher/or volunteer supervisor assigned to your group. Behavior contrary to the above instruction will endanger offenders or others and may result in a serious injury. With no exception any and all offenders will lose their lift and trail privileges. OSBIE Winter Sports Package Effective Date - November 2002 www.osbie.on.ca ALPINE SKIER'S/SNOWBOARDER'S RESPONSIBILITY CODE Officially endorsed by: ONTARIO SKI RESORTS ASSOCIATION THERE ARE ELEMENTS OF RISK IN SKIING AND SNOWBOARDING THAT COMMON SENSE AND PERSONAL AWARENESS CAN HELP REDUCE. REGARDLESS OF HOW YOU DECIDE TO USE THE TRAILS, ALWAYS SHOW COURTESY TO OTHERS. PLEASE ADHERE TO THE CODE LISTED BELOW AND SHARE WITH OTHERS THE RESPONSIBILITY FOR A SAFE OUTDOOR EXPERIENCE. Always stay in control. You must be able to stop or avoid other people or obj ects. 2. People ahead of you have the right-of-way. It is your responsibility to avoid them. Do not stop where you obstruct a trail or are not visible from above. 3. 4 5. Before starting downhill or merging onto a trail, look uphill and yield to others. If you are involved in or witness a collision or accident, you must remain at the scene and identify yourself to the Ski Patrol. Always use proper devices to help prevent runaway equipment. 6. 7. 8. Observe and obey all posted signs and warnings. Keep off closed trails and closed areas You must not use lifts or terrain if your ability is impaired through use of alcohol or drugs. You must have sufficient physical dexterity, ability and knowledge to safely load, ride and unload lifts. If in doubt, ask the lift attendant. KNOW THE CODE - BE SAFETY CONSCIOUS - IT IS YOUR RESPONSIBILITY BE AWARE - SKI OR RIDE WITH CARE! OSBIE Winter Sports Package Effective Date - November 2002 www.osbie.on.ca SNOWBOARDING THE SAME GUIDELINES THAT APPLY ALPINE SKIING WILL APPLY INCLUDING SNOWBOARDING REQUIREMENT THAT A BRAKE RETENTION DEVICE IS MANDATORY SNOWBOARD USE. OSBIE Winter Sports Package Effective Date - November 2002 www.osbie.on.ca FOR FOR THE OR FOR Dufferin-Peel Catholic District School Board 40 Matheson Boulevard West, Mississauga, ON, L5R 1C5, Tel: (905) 890-1221 MEDIA CONSENT FORM SCHOOL: ______________________________________ SCHOOL YEAR: __________________ To: Parent(s)/Guardian(s)/Adult Student: On _________________, representatives from ______________________________ may be in attendance at our school (Date) (Name of Media Organization) to film/photograph/videotape or make an audio or digital recording of our students. The purpose, use and disclosure of this collection of personal information is to: (be as specific as possible) ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ Please be advised that all or portions of the work referred to above will become part of the media organization's database and may be adapted for other educational or non-educational applications, productions, broadcast, re-broadcast, published, exhibited, reproduced, and/or distributed in various media formats to a number of markets. Schools cooperate with the media and other organizations, within reason, to encourage celebration of school achievements and the sharing of information about students and student work. However, we recognize that there are instances where a parent/guardian/yourself may not wish their child/children/themselves recorded. To: The Dufferin-Peel Catholic District School Board I HAVE READ AND UNDERSTAND THE INFORMATION PROVIDED ON THIS FORM. I VOLUNTARILY GIVE THE DUFFERIN-PEEL CATHOLIC DISTRICT SCHOOL BOARD CONSENT TO INCLUDE MY CHILD OR ME IN THE MEDIA COVERAGE AND ITS SUBSEQUENT USE DISCLOSURE AS DESCRIBED ABOVE. I further understand that this consent is valid for the current school year and may be withdrawn by me at any time, upon written notice. This Consent form meets the requirements of the Municipal Freedom of Information and Protection of Privacy Act and the Education Act for the disclosure of personal information. ____________________________________ Name of Student (Please Print) _______________________________________ School ____________________________________ Name of Parent/Guardian _______________________________________ Signature of Parent/Guardian ____________________________________ Name of Parent/Guardian _______________________________________ Signature of Parent/Guardian ____________________________________ Name of Adult Student (18 Yrs and Older) _______________________________________ Signature of Adult Student (18 Yrs and Older) ___________________________________ Date Community Relations Department 2006 Media Consent Form