Athlete | Registration GFA Athlete Registration | Release | Payment Use this form to register your child with the Gunstock Freestyle Association. Step 1 of 5 20% Name of Athlete* First Last Primary Email Address* Primary Phone*Athlete Date of Birth* Date Format: MM slash DD slash YYYY Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Social MediaFeel free to provide links of you or your Athlete's Social Media pages if you wish the club to tag them throughout the season. If you wish to share more than one link, please use the + symbol to generate a new field.Example: @your_instagram Shirt Size*Athletes Shirt SizeYouth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult LargeAdult XLUSSA Membership #*Every GFA Athlete is REQUIRED to become a member of the USSA organization for club insurance purposes. Only a GENERAL MEMBERSHIP is needed (approx. $15). For more info visit www.ussa.orgUSASA Membership # (Comp Team Members Only)Competition Team members will need to also register with the USASA organization and are responsible for any event fees and transportation associated with events. For more info visit For more info visit www.usasa.orgProgram Selection*Snowboard Progression Team (Saturdays) - $550.00Snowboard Progression Team (Sundays) - $550.00Snowboard Progression Team (Full Weekend) - $900.00Snowboard Competition Team (Full Weekend) - $1,150.00Ski Progression Team (Saturdays) - $550.00Ski Progression Team (Sundays) - $550.00Ski Progression Team (Full Weekend) - $900.00Ski Competition Team (Full Weekend) - $1,150.00Program fees cover costs for coaches, insurance, administration, and development. Program fees DO NOT COVER THE COST OF SEASON PASSES. Members are encouraged to purchase Gunstock season passes at www.gunstock.com.Total $0.00 Emergency ContactsEmergency Contact #1* First Last Phone*Relation to Athlete*MotherFatherEmergency Contact #2* First Last Phone*Relation to Athlete*MotherFatherSelect any/all medical conditions that apply* None Asthma Epileptic Diabetic Heart Condition Other If You selected "Other" For Medical Conditions. Please List here: Insurance InfoInsurance Company*Policy Owner*Policy Number*Group Number*Doctor Name*Doctor Phone* Our Social Media Policy*Gunstock Freestyle Association has social media accounts on Facebook and Instagram where we enjoy sharing the progress of our athletes through photos and videos. It not only helps to promote our program, but also allows our athletes to share with their family and friends the skills they have developed, as well as promote themselves when looking to obtain sponsorships. We are aware of the potential dangers associated with the posting of personally identifiable information online since global access to the Internet does not allow us to control who may access such information. These dangers have always existed. Therefore, Gunstock Freestyle Association will use FIRST NAMES ONLY on any social media posts unless they have a social media account, in which case we will use their social username. In fact, we strongly recommend to athletes looking to gain corporate sponsorships, to create an athlete profile account on Instagram specifically for sponsorship promotion. Additionally, we often have local news sources that wish to run articles showcasing our program and our athlete's accomplishments. Pursuant to law, we will not release any personally identifiable information without prior consent from you as parent or guardian. I ACCEPT Code of Conduct*The Gunstock Freestyle Association goal is to make freestyle skiing and snowboarding safe and fun for all athletes. It is critical that athletes, parents, coaches, families, spectators and all those affiliated with the sport conduct themselves in a respectable and high degree of sportsmanship. ATHLETE CODE OF CONDUCT• All Gunstock Freestyle Association members are to abide by current code of conduct set forth by USASA, Gunstock Mountain Resort, and Gunstock Freestyle Academy.• Gunstock Freestyle Association members are expected to conduct themselves in a sportsmanlike manner at all times.• No Gunstock Freestyle Association member shall use profanity, abusive language and/or be disrespectful to other Gunstock Freestyle Association members, or resort staff/guests at any Gunstock Freestyle Association or mountain event.• Any Gunstock Freestyle Association member who continually displays any of the above behavior will be asked to leave the team. No refund will be granted.PARENT CODE OF CONDUCT• I will inform the coaches of any disability or ailment that my child may have that could affect others.• I and my guests will be positive role models for my athlete.• I will not encourage any inappropriate or unsafe activities for my child or others on the mountain.• I will encourage my child to treat all others with respect.• I will assist in ensuring that my child attends all practices.• I will refrain from coaching my child or other athletes on the mountain during training sessions and competitions. I ACCEPT Parent Volunteer Commitment*Each parent will be required 1 volunteer day of service or a buyout of $50 per season per athlete in the program. I ACCEPT Authorization of Emergency Medical Treatment*As the legal parent/guardian, I authorize medical treatment for my son/daughter in the event I cannot be reached and treatment is necessary due to injury sustained while my said son/daughter is participating in the programs of the Gunstock Freestyle Association, and/or the United States of America Snowboard and Freeski Association. Such medical treatment shall be given by a licensed physician in the field of medicine at my expense. I ACCEPT WAIVER OF LIABILITY*The Gunstock Freestyle Association athlete and their guardians realize the participation in any snow activity involves the risk of serious injury, including permanent disability, death and other losses due to the action of the athlete, inaction, or negligence of others. The athlete agrees to physically and psychologically prepare to participate, and use equipment of a type and condition necessary to safely participate in the sport. The athlete and guardians agree to take all reasonable responsibility for his/her safety while participating in Gunstock Freestyle Association events and assumes all responsibility for any injury or loss incurred. The athlete and guardians agree to waive, release and hold harmless members of the Gunstock Freestyle Association, its staff, coaches, directors, supporters, sponsors, and affiliates from any and all claims for loss, injury, liability and/or damage in any way connected with any Gunstock Freestyle Association activities. I ACCEPT Consent to do business electronically*The parties agree that this agreement may be electronically signed. The Parties agree that the electronic signatures appearing on this agreement are the same as the handwritten signatures for the purposes of validity, enforceability and admissibility. I agree Parent/Guardian Name Printed* First Last Date Signed* Date Format: MM slash DD slash YYYY Billing Information:Name First Last Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Payment Type:Payment Method*PaypalPay By CheckCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.