Registration Page

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Registration Form

Ski Dates

Arrival(Required)

Departure(Required)

Personal Info

Name(Required)

First Last

Age(Required)

Gender(Required)

Occupation

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

How did you hear about Skeena? (social media, family/friend, online search etc.)

Please rate your skiing ability.(Required)

Intermediate

Advanced

Expert

How many days on average do you ski per year?(Required)

Have you cat skied before?(Required)

Emergency Contact Info

Name(Required)

First Last

Phone(Required)

What is your relationship to the above person?(Required)

(i.e. mother, boyfriend, friend, wife, etc.)

Health & Diet Screening

Do you have any allergies? If yes, please describe.(Required)

Do you have any diet restrictions that you MUST abide to? If yes, please describe.(Required)

Are you taking any medication (prescription and non-prescription)? Please disclose name of medication and purpose.(Required)

Have you had a major illness, injury or surgery in the last 3 years? Please describe.(Required)

Do you wear contact lenses?(Required)

Will you be:(Required)

Skiing

Telemarking

Snowboarding

Will you require ski rentals? Please provide your height and weight for rentals.(Required)

Have you purchased trip cancellation insurance? Please provide name of insurer.(Required)

Payment Information

Please provide your credit card number.(Required)

CSV(Required)

Expiry Date (month/year)

Date(Required)

Signature (digital)(Required)

Name

First Last

Untitled

Phone

This field is for validation purposes and should be left unchanged.

Registration Form

Ski Dates

Personal Info

Emergency Contact Info

Health & Diet Screening

Payment Information

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