FREE
HEELS WORKSHOP REGISTRATION (PDF
Version)
MAIL:
Free Heels - PO Box 159 - Curlew, WA. 99118
FAX/PHONE: in USA - (800)227-2054 /outside USA (509)779-4674
Please fill out and sign the registration and fax or mail
with amount required.
NAME__________________________________________________________________
ADDRESS _______________________________________________________________
________________________________________________________________________
PHONE/FAX ______________________ E-MAIL
___________________________ |
| BEYOND
THE GROOMED WORKSHOP 2006 February 18-20 |
|
|
| Workshop without lodging & breakfast |
|
US$260.00 |
________ |
| Workshop with lodging and breakfast - for all three nights and additional $100 |
|
US$360.00 |
________ |
|
Lodging & breakfast @ US$40.00/night
(check requested nights – Fri.___ Sat.___ Sun.___ ) |
US $_____ + |
US$260.00 =
|
________ |
| |
|
|
| |
|
Total: |
________ |
SKI
EXPERIENCE
Tele skiing? __________________________________________________________________________
Backcountry Skiing?____________________________________________________________________
Alpine Skiing?_________________________________________________________________________
I can
link turns on - Green Runs (easiest) ___ Blue runs
(moderate) ___ Black runs (advanced) ___
Do
you have climbing skins?_____________
Avalanche courses? ______________________________________________________________
TYPE
OF
PAYMENT
Half of the workshop cost is required for registration,
with balance due one month before workshop date.
Check*____
Money Order*____ Credit card: Visa ____ Mastercard____
Card
#_________________________________ Expiration date: _________________
* preferred method of payment
RELEASE
I understand that skiing is a hazardous sport and that there are inherent risks involved, that natural hazards exist, that injuries may occur, and therefore I assume the burden of skiing under control at all times. I do hereby release Free Heels, Whitewater Ski Area, and all officers and employees from all liability and waive any claim of damage or injury arising from attendance and participation with Free Heels.
Signature__________________________________________
Date___________________
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