2020 Snow Club Registration

Health Statement, Indemnity, Release & Assumption of Risk
                                                               
                               "Adventure is not in the guidebooks, and beauty is not on the maps."
Snow Clubber Information



mm/dd/yyyy
Emergency Contact Information
Parent/Guardian 1
Parent/Guardian 2
Mailing Address
Snow Club Information
Bus Stop Note: At this time the only bus with availability is the Calleva Office & Farm Store in Poolesville. If you want to be on the wait list for a bus stop please visit the Snow Club page of our website for the wait list form.

Whitetail Packages
The protection policy offers a prorated reimbursement in accordance with the schedule of coverage listed below. It is based only on the amount paid for the Night Club Card. Coverages becomes effective in the event of a transfer by your employer necessitating a move of 125 miles or more, or injury and/or sickness which prevents your participation in the sport. Documentation from your physician is required. This option must be purchased with your initial order. If you do not purchase the protection policy, your purchase is considered final and non refundable for any reason.
Legal Responsibility
Every box but the photo release must be checked in order to participate in the Calleva Snow Club.  If you have any questions please call the Calleva office 301-216-1248
Payment
Signature