Registration Form

Name:

First name

Last name

Birthday:

Sex:

Address:

Mailing Address

AB

City

Province

Postal Code

Day Phone:

Evening Phone:

Fax:

Cell

Allergies or other Medical conditions:

Alberta Health Care #:

Pass:

 Season Pass $650

 8 Day Pass $350

 Day Pass $50

Previous Water Ramp history:

 Yes  No

Freestyle Skiing Ability:

Beginner Intermediate Expert

Aerials – Most difficult trick on snow:

Big Air – Most difficult trick on snow:

______________________________

Payments can be made payable to CFSA by:

Cash  Check

Complete form, attach proof of CFSA insurance and BRING WITH PAYMENT to Water Ramps

 Office Use Only

CFSA Insurance

Water Ramp Reg Fee

Dates