Tourism and Culture:

2013 Ski and Snowboard Multi Week Program Registration Form

Fields marked with a red star (*) are mandatory.

Contact Info Mailing Address: 2018 Route 13 Brookvale PE C0A 1Y0 Phone: 902-658-7876 Fax: 902-658-7860 Email: ecurley@gov.pe.ca Web: www.brookvaleskipark.com
Programs available 8 weeks Skiwee $135.00 + $6.75 GST = $141.75 (skiing 4-6 years old) 8 weeks Snowstars $175.00 + $8.75 GST = 183.75 (skiing 7-14 years old) 8 weeks STEP $175.00 + $8.75 GST = $183.75 (snowboarding 7-14 years old) 8 weeks Junior Development $260.00 + $13.00 GST = $273.00 (Intro to ski racing8-14 years old) 6 weeks ITP $100.00 + $5.00 GST = $105.00 (ski or snowboard advanced 13-15 years old) 6 weeks Adult Class $120.00 + $6.00 GST = $126.00 (ski or sb beginner/intermediate please specify your ability) 6 weeks Ladies Night Class $120.00 + $6.00 GST = $126.00 (ski or sb beginner/intermediate please specify your ability) Families with 3 or more students registered receive a 10% discount per student.
Parents/Guardians Names:: *
Email address: *
Full Mailing Address: *
Best Contact Phone Number: *
*Note The first two student signups are required fields! If you only have one student to fill out, add N/A to the second student signup.**
Student First & Last Name: *
Year of birth: *
Age: *
Class day preferred: *
Class time preferred: *
Program Name: *

Student First & Last Name: *
Year of birth: *
Age: *
Class day preferred: *
Class time preferred: *
Program name: *

Student First & Last Name:
Year of birth:
Age:
Class day preferred:
Class time preferred:
Program name:

Student First & Last Name:
Year of birth:
Age:
Class day preferred:
Class time:
Program name:
Payment is due by January 6th 2013 We accept VISA, Mastercard, Debit or Cheque. *Please make cheques payable to: Tourism PEI.
Please list any medical conditions or allergies your child or children have: *
Waiver I, the parent/guardian for the above student(s), understand the inherent risks involved with skiing and snowboarding and accept that Brookvale Ski and Snowboard School is not responsible for damage to property or injury to persons resulting from any ski or snowboard instructional program in which my family member(s) is/are registered.

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