CCSA Student Registration Form
PLEASE NOTE
This form does not work well in Internet Explorer, especially in older versions, use Firefox or Chrome if you can. When submitted successfully, it will say "Application Received!". If it does not submit the first time, look for error messages, usually in
RED, or just try hitting submit again if you are unable to find any errors.
Skier Information
Emergency Contact Information
Program Preferences
Lesson Day/Time (Indicate choice by 1,2,3)
Must be 1,2, or 3
Must be 1,2, or 3
Must be 1,2, or 3
Must be 1,2, or 3
Must be 1,2, or 3
Must be 1,2, or 3
Will you need rental skis? (Please do not check if you will be using a sit ski (mono or bi)
Skier Disability
Please describe disability in detail to assist staff in placement:
Adaptive Discipline:
Is skier currently under doctor's care for any condition, please specify:
Are there any limitations on the skier's activities? Please describe:
Medical Precautions (Please describe):
Allergies:
Is skier a HEPATITIS B or C carrier?
Does skier have Down'S Syndrome?
If skier has Down's Syndrome, verification of atlantoaxial dislocation is needed. A doctor's signature is required.
Special diet? If so explain:
Does skier need assistance with
If so, explain
If so, explain
Does the skier have any particular behaviors that staff should be aware of? If so, please describe.
Sit-Down Skiers
As a student or parent would you be interested in working on a committee.
Please fix these errors then re-submit
2018 Rates
Click on the price below to pay via Paypal or by Credit Card
|
6 Year Old Fee
|
|
7+ Year Old Fee
|
Weekday Series
|
40
|
|
155
|
Weekday Series with Rentals |
90 |
|
225 |
Weekend Series |
40 |
|
225 |
Weekend Series with Rentals |
90 |
|
295 |
We only ski students six and above. Payment is required prior to the first lesson. You may pay by US Mail, online, or at the first lesson.
We also have limited Scholarship Opportunities available. Please fill out a
Scholarship Application if needed.