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SkiSparks wait list
SkiSparks wait list
Parent/Caregiver Name
*
Email Address
*
Phone Number
*
Primary Language/Translator Needed?
Child First Name
*
Childs Last Name
*
Child's Date of Birth
*
Is this your child's first time Cross Country Skiing?
*
Choose
Yes
No
Child's Gender
*
Choose
Male
Female
Non-Binary
Child's Height
Child's Weight
Child's Shoe Size
Child's Ethnicity
African American
Asian American
Hispanic or Latinx
Native American/Alaskan
Native Hawaiian or Pacific Islander
White
Two or More Ethnicities
Does your Child Qualify for free or reduced lunch?
*
Choose
Yes
No
Prefer not to answer
How many adults live in your household?
*
Choose
1
2
3
4
5+
How many children live in your household?
*
Choose
1
2
3
4
5
6+
Household Income
*
Choose
Less than $40,000
$40,000 - $49,999
$50,000 - $59,999
$60,000 - $69,999
More than $70,000
Prefer not to answer
Is this a single parent household?
*
Choose
Yes
No
Does your child have special needs that we should be aware of in order to best support your family?
Are you able/willing to volunteer? If so what roles would you be open to: (See role descriptions here: Https://www.myxc.org/roles)
*
Leader: Main coordinator for the club and the point of contact for MyXC staff and families.
Director: Complete administrative tasks to create an Inclusive and welcoming club.
Outreach Coordinator: Connect and facilitate partnerships between MyXC and underserved communities.
Equipment Manager: Manage and Distribute rental skis.
Photographer: Take pictures at clubs meetings with personal camera/phone and share with club members.
Coach: Lead groups of skiers through weekly curriculum activities and games.
Assistant Coach: Ski along with a group of kids and lead games.
Sweeper: Ski in the back of a group and encourage kids.
I am not interested in volunteering
What club are you hoping to register for? (First choice)
*
Choose
Baker
Battle Creek Saturday 2:00
Battle Creek Sunday 2:00
Brainerd
Bunker HIlls
Carver
Central Minnesota (St. Cloud)
Cleary
Como
Cottage Grove Ravine
DXC (Duluth)
Eden Prairie
Edina
Elm Creek Saturday
Elm Creek Sunday
French
Giants Ridge
Glen Lake
Hiawatha Saturday Morning (10:00)
Hiawatha Late Saturday (2:00)
Hiawatha Sunday Morning (10:00)
Hiawatha Early Sunday (12:00)
Hiawatha Late Sunday (2:00)
Highland 9 Saturday
Highland 9 Sunday (11:00)
Highland 9 Sunday (1:00)
Hyland Lake Saturday
Hyland Lake Sunday
Irondale
Itasca (Grand Rapids)
Kenwood Park
Lake Elmo Saturday
Lake Elmo Sunday
LaCrosse
Lebanon Hills
Northfield
Otter Trail
St. Anthony Park Early (12:00)
St Anthony Park (2:00)
Tamarack
Vasa
Wild River
Willow River
Winona
Wirth Saturday
Wirth Sunday
Woodland Wapiti
Virtual
Is there another club that could work for you? (Second Choice)
If approved, would your child need equipment?
*
Choose
Yes
No
Where did you hear about MyXC?
We have participated in the past.
A friend.
At my child's school.
Social Media.
Event at a local park.
Park and Rec. Department.
Other
Waiver Agreement
*
Choose
I am the Parent/Guardian and agree to the above waiver
Other
Waiver
*
Waiver: In consideration of my child/ward being allowed to participate in any way with MyXC related events and activities, I acknowledge, appreciate and agree that nordic skiing is an action sport carrying significant risk of personal injury, illness (ex: communicable diseases such as MRSA, influenza, and COVID-19), death or property damage. I also acknowledge that there are natural, mechanical and environmental conditions and risks, which independently or in combination with my activities, may cause property damage, illness, or severe or even fatal injuries to me or others. While particular rules, equipment and personal discipline may reduce these risks, the risks of serious injury and illness do exist. I, for myself and my child/ward, am responsible for: (a) my safety, and my child/ward’s safety while participating in any way in MyXC related events and activities and (b) providing, utilizing and maintaining that equipment necessary for the safe enjoyment of my participation in such events. I hereby release MyXC, the ski area, any sponsors or officials, and any agent, representative, officer, director, employee, member or affiliate of any person or entity named above, from any liability and all claims for damages for illness, death, personal injury, disability, or property damage resulting from my participation in MyXC events. I will accept and abide by the rules and regulations of MyXC and any other rules or regulations imposed by the organizers of any particular competition. I, the parent/guardian, assert that I have explained to my child/ward: the risks of the activity, his/her responsibilities for adhering to the rules and regulations, and that my child/ward understands this agreement. In connection with my participation, and the participation of my child/ward, with MyXC activities, I consent to photographs being taken and publication, display, and exhibition by the MyXC of the photographs and my name for the sole purpose of MyXC promotional activities, without any further compensation to me.