Registration Form

Parent/Guardian Name *

First Name

Last Name

Billing Address

Please confirm what address will be reflected by your billing information

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Photography Usage

Sometimes we take pictures during the course of the lessons. If we are allowed to use photos of your child in our promotional materials, please check the box below.

YES

NO

Contact Number for Day of Lesson *

Please include the cell phone number of at least one parent/guardian who will be on the mountain the day of the lessons.

(###)

###

####

Date *

Please see our calendar section of the website to confirm the date requested is one that lessons are offered on.

MM

DD

YYYY

Additional Lesson(s)

MM

DD

YYYY

Additional Lesson(s)

MM

DD

YYYY

Additional Lesson(s)

MM

DD

YYYY

Additional Lesson(s)

MM

DD

YYYY

Student 1 Name *

First Name

Last Name

Ski or Snowboard?

Skiing

Snowboarding

Student 2 Name

First Name

Last Name

Ski or Snowboard?

Skiing

Snowboarding

Student 3 Name

First Name

Last Name

Ski or Snowboard?

Skiing

Snowboarding