After School Program Registration Form Collect Data for the test class registrations. Student InfoName* First Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*This number will be used for text alerts in regard to cancellations/rescheduled classes due to inclement weather.Parent & Emergency InfoSchool ProgramsParent's Name Emergency Contact Name* Emergency Contact Relationship* Emergency Contact Phone*Program InfoSelect Your School*Auburn Village Lessons or Open Ski*1st Session - Tuesday 4:00pm - 6:00pm Open Ski must be a level 4 or higher. Brixham Lessons or Open Ski*Brixham Montessori LessonsBrixham Montessori Open Ski1st Session - Monday 4:00pm - 6:00pm Open Ski must be a level 4 or higher. Barka Lessons or Open Ski*Barka Lessons1st Session - Wednesday 3:30pm - 5:30pm Bus fee includedBuilding Block Commons Lessons or Open Ski*Building Block Commons LessonsBuilding Blocks Common Open Ski2nd Session - Thursday - 4:00pm - 6:00pm Open ski must be in 5th grade and a level 4. Birches Academy Lessons or Open Ski*Birches Academy LessonsBirches Academy Open Ski1st Session - Friday 4:30pm - 6:30pm Open ski must be in 5th grade and a level 4. Cardinal Lacroix Lessons or Open Ski*Cardinal Lacroix LessonsCardinal Lacroix Open Ski1st Session - Friday 4:00pm - 6:00pm Open Ski must be a level 4 or higher. Derry Village Lessons or Open Ski*Derry Village LessonsDerry Village Open Ski1st Session - Wednesday 3:30pm - 5:30pm East Derry Lessons*East Derry Lessons1st Session - Wednesday 3:30pm - 5:30pm Bus fee included Epping Rec Lessons or Open Ski*Epping Rec LessonsEpping Rec Open Ski1st Session - Tuesday 4:00pm - 6:00pm Open Ski must be a level 4 or higher. Founders Academy Lessons or Open Ski*2nd Session - Friday 4:00pm - 6:00pm Open Ski must be a level 4 or higher.Green Acres Lessons or Open Ski*Green Acres LessonsGreen Acres Open Ski1st Session - Friday 4:30pm - 6:30pm Open Ski must be a level 4 or higher.Griffin Memorial Lessons or Open Ski*Griffin Memorial LessonsGriffin Memorial Open Ski1st Session - Wednesday 4:00pm - 6:00pm Open Ski must be a level 4 or higher. Grinnell Lessons or Open Ski*Grinnell LessonsGrinnell Open Ski1st Session - Monday 4:00pm - 6:00pm Open Ski must be a level 4 or higher. Bus fee included. Hampstead Lessons or Open Ski*Hampstead Central LessonsHampstead Central Open Ski1st Session - Thursday 4:30pm - 6:30pm Hooksett Lessons or Open Ski*2nd Session - Thursday - 4:30pm - 6:30pm Kensington and East Kingston Rec Lessons or Open Ski*Kensington Rec LessonsKensington Rec Open SkiEast Kingston Rec LessonsEast Kingston Rec Open Ski1st Session - Thursday 4:30pm - 6:30pm Open Ski must be a level 4 or higher. Lincoln Akerman Lessons or Open Ski*Lincon Akerman LessonsLincon Akerman Open Ski1st Session - Friday 4:30pm - 6:30pm Open ski must be a level 4 or higher.Londonderry North Lessons or Open Ski*2nd Session - Friday 4:30pm - 6:30pm Open ski must be a level 4 or higher.Londonderry South Lessons or Open Ski*2nd Session - Thursday - 4:00pm - 6:00pm Open Ski must be a level 4 or higher. Marston Lessons*Marston Lessons1st Session - Friday 4:00pm - 6:00pmMatthew Thornton Lessons*Matthew Thornton LessonsMatthew Thornton Open Ski1st Session - Monday 4:00pm - 6:00pm Open Ski must be a level 4 or higher. Maude H Trefethen School*Maude H Trefethen School LessonsMaude H Trefethen School Open Ski2nd Session - Wednesday 4:30pm - 6:30pm Open Ski must be a level 4 or higher. Mill Falls School*Mill Falls LessonsMill Falls Open Ski1st Session - Monday 4:00pm - 6:00pm Open Ski must be a level 4 or higher. Mt. St. Mary Academy Lessons or Open Ski*LessonsOpen Ski - Grade 4+, Level 4+ only1st Session - Friday 1:30pm - 3:30pm North End Montessori Lessons or Open Ski*North End Montessori LessonsNorth End Montessori Open Ski1st Session - Wednesday 3:30pm - 5:30pm Open Ski must be a level 4 or higher. Polaris Charter Lessons or Open Ski*Polaris Charter LessonsPolaris Charter Open Ski1st Session - Friday 3:30pm - 5:30pm Smyth Road Lessons or Open Ski*Smyth Road LessonsSmyth Road Open Ski1st Session - Wednesday 3:30pm - 5:30pm South Range Lessons or Open Ski*South Range LessonsSouth Range Open Ski1st Session - Monday 4:00pm - 6:000pm Open Ski must be a level 4 or higher. Bus fee includedStratham Rec Lessons or Open Ski*Stratham Rec LessonsStratham Rec Open Ski1st Session - Friday 4:00pm - 6:00pm Open Ski must be a level 5 or higher. St. Benedict Lessons or Open Ski*St. Benedict Academy LessonsSt. Benedict Academy Open Ski1st Session - Friday 3:30pm - 5:30pm. Open ski must be a level 4 or higher. St. Catherine Lessons or Open Ski*St. Catherine LessonsSt. Catherine Open Ski - Level 4+ only1st Session - Friday 3:30pm - 5:30pm. Open ski must be a level 4 or higher St. Francis Lessons or Open Ski*St. Francis LessonsSt. Francis Open Ski1st Session - Tuesday 4:00pm - 6:00pm Open Ski must be a level 4 of higher. St. Joseph Jr. High Lessons or Open Ski*St. Joseph Jr. High LessonsSt. Joseph Jr. High Open Ski1st Session - Friday 3:30pm - 5:30pm Open Ski must be a level 4 of higher. Webster*Webster LessonsWebster Open Ski1st Session - Tuesday 4:00pm - 6:00pm Open Ski must be a level 4 or higher.Weston Elementary*Weston LessonsWeston Open Ski2nd Session - Wednesday 4:00pm - 6:00pm Open Ski must be a level 4 or higher.Windham Academy Lessons or Open Ski*Windham Academy LessonsWindham Academy Open Ski1st Session - Friday 4:30pm - 6:30pm Open Ski must be a level 4 or higher. Does the student ski or snowboard* Ski Snowboard Skill Level*Select Skill Level012345678If the student has never skied or snowboarded, please select level 0. For Ski level selection please click here. For snowboard level selection please click here. Rental InformationWill this student be renting equipment?*YesNoWill this student be renting equipment?*YesNoHeightSelect Height3-03-13-23-33-43-53-63-73-83-93-103-114-04-14-24-34-44-54-64-74-84-94-104-115-05-15-25-35-45-55-65-75-85-95-105-116-06-16-26-36-46-56-6Please visit the McIntyre Ski Shop no later than 2 weeks prior to when the program starts to be sized if you are unsure of the information being provided. The student’s equipment will be ready for them before each class they attend throughout the program. Please note: this rental is only good for each class and must be returned to the rental shop after each class.Weight (lbs)Please enter a number from 0 to 400.Boot SizeSelect Boot SizeY 1Y 2Y 3Y 4Y 5Y 6Y 7Y 8Y 9Y 10Y 11Y 12A 6A 7A 8A 9A 10A 11A 12A 13A 14A 15A 16Will this student be renting a helmet?*YesNoWill this student be renting a helmet?*YesNoSkier / Snowboarder Type*BeginnerIntermediateAdvancedHow Do I Know?HiddenAdditional NotesLiability Release*LIABILITY RELEASE I understand participation in my own or my child or ward’s chosen Program(s) involves exposure to the inherent and other risks of skiing and/or snowboarding that cannot be eliminated. I also understand participation in my or their chosen Program(s) may require the use of ski lifts and that I/they may ride lifts alone or with other guests and that the use of lift involves a potential risk of injury. In consideration of my/them being allowed to participate in this instruction program, I HEREBY EXPRESSLY ASSUME ALL RISK associated with participation in my/their chosen Program(s) including all risks associated with skiing and/or snowboarding, riding lifts, renting equipment, and skiing or snowboarding on terrain or using equipment intended to improve or enhance skills. Despite my understanding of the foregoing risks, I, AGREE NOT TO SUE, TO RELEASE FROM LIABILITY AND TO DEFEND, INDEMNIFY AND HOLD HARMLESS MCINTYRE SKI SCHOOL, INC., MCINTYRE SKI A REA, LLC, B&B HOLDINGS, LLC AND THE CITY OF MANCHESTER, and their representatives, owners, employees and agents for any damages or injury arising out of participation in my/their chosen Program(s) regardless of the alleged cause, including NEGLIGENCE. In case of malfunction of my ski or snowboard equipment, I authorize McIntyre Ski Shop/School employees to repair as necessary or replace with McIntyre Ski Shop equipment if required, so that I/they may continue participation in my/their chosen Program(s). I understand that the foregoing is a LIABILITY RELEASE and that is legally binding on me, our heirs and our legal representatives and my child or ward if applicable. I acknowledge that the foregoing is binding during the current ski season. This agreement is governed by New Hampshire law. If any provision of this agreement is determined to be unenforceable, all other provisions shall be given full force and effect. I and my child or ward understand that video or photographic images of us may be taken by McIntyre Ski Area, LLC and give permission for any use of those images by McIntyre. I HAVE READ, UNDERSTAND AND FREELY ENTER INTO THIS LIABILITY RELEASE. I agree Refund Policy*I understand that no refunds will be issued for any reason at any time. I agree Reschedule Policy*I understand that McIntyre Ski Area has the right to reschedule classes due to inclement weather or other unforeseen reasons. If I cannot attend a scheduled or recrudesced class, the class is forfeited. There is no individual make up classes. Any schedule changes will be posted on the McIntyre website the day of my lesson and an email will be sent to the email I have registered with. I agree Review Form* I have reviewed all the information I have entered and selected on this form. Total $0.00