Skip to Main Content
Bookmark and Share print small medium large 

HOME /


2014 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
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: *
New or Returning: *



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



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



Student First & Last Name:
Year of birth:
Age:
Class day preferred:
Class time:
Program name:
New or Returning:
Payment is due by January 5th 2014


*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 hereby consent that any photographs or moving pictures taken of me (or minor members of my family) by a member of the staff of Brookvale Provincial Ski Park may be published in print or on their website. I, the parent/guardian for the above student (s), understand the inherent risks involved with skiing and snowboarding and accept that Brookvale Provincial Ski Park and Brown’s Volkswagen Snowschool 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.



Do you want a copy of the form?


Please send me a simple text-only version of the information I submitted.
Please send me an Acrobat version of the form, with the information I've entered above filled in, that I can print and save.
Please send me both the text-only version and the PDF.
Important Note: Email is not, by its very nature, a secure medium; if you choose to have your form emailed to you, the information you entered will be transmitted over the public Internet to your email box.

Email to address:

Submit the Form


  • Key Code:
  • Enter Key Code: 



When you click here, the information you've entered above will be sent to the public servant responsible for receiving and processing this form. If you've opted to receive an Acrobat version of the form by email, you will receive this file shortly.
back to top