Registration Form

Camp or course Name and Date  ____________________________

Name Last/First/M.I.   _____________________________________

Address                      _____________________________________ 

City                           _____________________________________ 

State, Zip                   _____________________________________

Ability Level, terrain  ______________________________________

Adult or child age        _____________________________________

Phone number             ____________________cell______________ 

Email                         _____________________________________ 

Emergency contact
Name and number       _____________________________________

Does this person carry a health care power of attorney for the client._______

Room requirements
if applicable               _____________________________________ 

Payment method        ______________________________________ 

Card Type                  _____________  Amount   $______________
 *All Cards add 3.5%                                                        

Card Number              ______________________  Exp ____ / ____ 

Security 3 digit code on signature side _______________________

Card holders signature _____________________________________ 

I enclose a check (Checks payable to Snowperformance LLC.)
or here by authorize payment by my credit card 

Signed________________________     Date ____/____/____
Please state any special needs, medical conditions we should be aware of or                                                                                                                     preferences on back side of form
*Full payment is required at least 30 days from start date*

*Important click here for Snowperformance booking conditions