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Lesson Details

Student's Name*
Student's Pronouns
Adaptive Language Request:*
Person-first language puts the person before the disability, using phrases like “person with a disability” instead of “disabled person." Advocates of this approach state that it focuses on the person who is affected by the condition instead of the condition itself. Identity First language uses phrases like “disabled person” as opposed to “person with a disability.” Individuals use these identifiers because they feel it helps those people to claim their disabilities with pride.
Please describe how you/the student likes to be referred to.
Student's Date of Birth*
Has this student taken an adaptive lesson at Meadows before?*
MM slash DD slash YYYY
Approximate date is acceptable
Are there any physical changes, medical conditions or diagnosis that have changed since the last lesson?
If you, please enter "self"
MM slash DD slash YYYY
Preferred Lesson Time*
Would you like to request additional dates?*
Best time to contact?
Preferred Contact Method*
We will be calling you from 503-337-2222 and emails sent from skihood.com

Student Discipline, Lift Access and Rental Information

Discipline*
If your selection is "Sit-Ski" our team may reach out for more information.

Lift Access Information

Lift access is not including in the lesson price. If you do not have a season pass, please choose the appropriate lift access you'd prefer below.
Lift Accecss*

Rental Information

It is important to provide rental information including shoe size, height and weight for various reasons regardless as to whether you plan to obtain rentals.
Will this participant need rentals?*

Student Medical History

While we do not require a formal diagnoses for an adaptive lesson, sharing your diagnoses, self-diagnoses, relevant co-diagnoses, or self-reported symptoms with us, will greatly assist us in understanding the accommodations you are requesting.
Are there any medications that would impact participation in a half-day or full-day lesson. List any medications used/allergies. Please include any information on medications that would be required to be administered during a lesson.
Is there any significant variation in your symptoms from day to day that would impact the level or type of mobility assistance you may require during your lesson?
Does this student have or experience any of the following conditions?*
Type of insulin administration*
Accommodations Requested*

Cognitive Accommodation Details

Describe the student's ability to communicate and any communication tools or devices that may be necessary or used during the lesson.
Are there any stressors or triggers we should be aware of during the lesson?
Could you describe any methods or techniques that have been useful to mitigate triggers or type of environment / intervention to remediate being overwhelmed or overstimulated?

Visual Accommodation Information

Select the student's vision capacity*
Please describe accommodations that have been useful in the past for Visual Impairments.

Hearing Accommodation Information

Select the student's hearing capacity*
Please describe accommodations that have been useful in the past for Hearing Impairments.

Mobility Accommodation Information

Select the student's mobilty*
Select any mobility devices used*
Please describe likely mobility accommodations needed.
Student's Ability to Transfer*
Transfer is the ability move from one mobility device or aid to another. For example, moving from a wheel chair to a sit ski.
Please describe any transfer accommodations needed?

Additional Student Information

Please list any previous snowsports or other recreational activity and any relevant supports used if not already documented.
Could you describe any motivations for participating in snow sports?
Could you please share any goals and skill development you'd like to gain through the lesson.

Instructor Details

If would like to request a specific instructor, please provide their name here
If requested instructor is unavailable, are you okay with a different instructor?

Mt. Hood Meadows 2025-26 Lesson and Rental Liability Release

The purchaser, holder and/or user of this rental equipment and/or ski school lesson (“Participant”) understands that skiing, snowboarding and other winter activities (“Skiing”) can be HAZARDOUS and that injuries are common when participating in such activities. Participant accepts and assumes the risks associated with Skiing, including, but not limited to, changing weather conditions, variations and steepness in terrain, terrain features and parks, snow or ice conditions, surface or subsurface conditions, bare spots, creeks and gullies, forest growth, avalanches, snow immersion, rocks, stumps, the use of lifts, collisions with natural or man-made objects or other persons, grooming and snowmobile equipment, lift towers and other structures and their components, falling, loss of control, exceeding one’s ability, and exceeding the limits of equipment to protect from injury or death. Participant hereby freely and expressly ASSUMES ANY AND ALL RISK OF INJURY, PARALYSIS, DEATH AND PROPERTY DAMAGE death associated with Skiing. Participant understands that the ski/boot/binding system rented will not release or retain at all times nor under all circumstances where release or retention may prevent injury, nor is it possible to predict every situation in which it will release or retain, and it is therefore not a guarantee of safety. Participant understands that snowboard boot/ bindings systems are not designed or intended to release and are not a safety device. Participant also understands that helmets are not designed to prevent injury under all circumstances and that the use of a helmet is no guarantee of safety.

IN CONSIDERATION FOR USE OF THIS RENTAL EQUIPMENT AND THE USE OF ANY OTHER AREA FACILITIES, SERVICES AND PREMISES, PARTICIPANT HERE BY AGREES TO RELEASE, HOLD HARMLESS, AND INDEMNIFY MT. HOOD MEADOWS OREG., LLC AND ITS OWNERS, PARTNERS, EMPLOYEES, DIRECTORS, AGENTS, AFFILIATES AND RELATED ENTITIES (“MEADOWS”), AND ALL MANUFACTURERS AND DISTRIBUTORS OF THE EQUIPMENT PROVIDED OR SERVICED UNDER THIS AGREEMENT (“MANUFACTURERS AND DISTRIBUTORS”), FROM ANY AND ALL CLAIMS AGAINST THEM ARISING DIRECTLY OR INDIRECTLY OUT OF ANY USE OF THIS EQUIPMENT AND/ OR THE AREA FACILITIES, SERVICES AND PREMISES. THIS RELEASE ONLY INCLUDES CLAIMS AND LIABILITIES ARISING FROM ORDINARY NEGLIGENCE ON THE PART OF MEADOWS AND/OR MANUFACTURERS AND DISTRIBUTORS. PARTICIPANT ALSO AGREES TO INDEMNIFY (INCLUDING COSTS AND ATTORNEY FEES) MEADOWS, MANUFACTURERS AND DISTRIBUTORS FOR ANY CLAIM BROUGHT ON BEHALF OF A MINOR NAMED ON THIS GROUP CONSENT FORM.

Participant accepts the equipment without any warranties, express or implied, other than those made in this document. Participant will be responsible for the replacement, at full retail value, of any equipment rented from Meadows for any loss or damage of any kind which results from the use of this equipment and accepts full responsibility for its care while it is in the Participants possession. Participant agrees to return all equipment by the agreed date in clean condition, to avoid any additional charges. Participant had made no misrepresentations to Meadows about height, weight, age or skiing/snowboarding ability of the Participant named on this Group Consent Form and Participant agrees to verify that release/retention or stance settings on rental equipment correspond to those stated on the Rental Release Agreement. INJURIES may result as a consequence of participation in a ski school class. The Participant therefore assumes the responsibility of skiing under control at all times and is the sole judge of their ability to ski any terrain or perform any maneuver whether or not directed by a representative of the Mt. Hood Meadows Ski School. If I am signing on behalf of a minor, I accept full responsibility for all medical expenses incurred as a result of the minor’s participation in Mt. Hood Meadows class. I also understand that ski school students of any age, in some cases, may be asked to board the chair lift alone or with another person and may not always ride with an instructor. I also understand that ski school students of any age, in some cases, may be asked to board the chair lift alone or with another person and may not always ride with an instructor.

I have read and accept the Mt. Hood Meadows Liability Release*
Clear Signature