MASS 2017 Instructor Application
First Name:
Last Name:
Street:
City:
Zip:
Phone:
Email:
Emergency Contact:
Emergency Phone No:
Years in MASS:
I can teach:DownhillSnowboardX-Country
My ability level:IntermediateAdvancedExpert
Highest level I have taught:ABCDE
RELEASE FROM LIABILITY

I HEREBY AGREE TO PARTICIPATE AS A VOLUNTEER INSTRUCTOR in the Mountain Area Ski School (MASS) and release all agents of the program from any responsibility in the event of injury or property damage sustained by me as a result of such participation.

I give my permission to be treated by ANY physician, nurse, hospital or clinic as may be necessary.

The undersigned hereby declares that the terms of this release have been completely read and fully understood and voluntarily accepted

Date:
Signature