Apex Freestyle Club :: WIN Canada Cup Series Registration 2016

Mountain I Ski For *

First Name *

Last Name *

Gender *

Email Address *

Address *

City *

Postal Code *

Birthdate *

Cell Phone Number *

Parent 1 Full Name *

Parent 1 Cell Phone Number *

Parent 2 Full Name

Parent 2 Cell Phone Number

Emergency Contact Name (if different than parents) *

Emergency Contact Cell Phone Number *

I am registering for: *

CFSA Number - It is adviseable to have a copy of my CFSA insurance and FIS number on my person, in paper or on my phone. *

FIS Number - It is adviseable to have a copy of my CFSA insurance and FIS number on my person, in paper or on my phone.

Payment Method *

If paying via PayPal please enter name on your PayPal account. If paying by cash or chq, please enter N/A. *

BIBS DEPOSITS - CASH ONLY *

I understand that my bib deposit of $20.00 must be paid with CASH only. I have been advised that I should bring cash with me before I get to Apex Mountain. I understand there is only 1 unreliable cash machine at Apex Mountain.

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