Section 1: Personal Information

 

 


Date of Birth:
Gender:
Citizenship:
Have you been arrested or convicted?:
If Yes, please provide details:
Have you had a visa application denied?:


If Yes, please provide reason:
List any languages you speak in addition to English and your level e.g French (conversational):

 

Section 2: Contact Information

 





 

Section 3: Emergency Contact Information

 

 

Full name:
Relationship:
Phone:
Mobile:
Email:
Address:

 

Section 4: Medical Information

 

 


Ski Ability:
Snowboard Ability:

 

Section 5: Other Information


T-shirt size:



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