Registration

Member information

Last name			First name
Member number			Ski area
CSIA certification	Select your CSIA certification CSIA Level I CSIA Level II CSIA Level III CSIA Level IV		CSCF certification	Select your CSCF certification CSCF Level I CSCF Level II CSCF Level III CSCF Level IV
Mailing address
City			Province
Postal code			Phone number
Email

Clinic selection

Select a ski clinic from the list (one only):	Select a clinic CSIA general ski improvement CSIA Level II preparation CSIA Level III course preparation CSIA Level III exam preparation CSIA Level IV preparation CSCF general ski improvement
Please indicate if you will be participating Monday AM
What is your preferred language for your clinic?	Select language English French

Bring-a-Friend: Intro to CSIA and “Level I Prep” Clinic

CSIA “Level I Prep” Clinic. Do you know a friend who wants to prepare for the CSIA Level One and get a broad introduction to CSIA at the same time? Bring them along! *They should be at least an advanced intermediate skier.

Are you bringing a friend to the fall convention? Yes No

Provide the following information about your friend:
Last name			First name
Mailing address
City			Province
Postal code			Phone number
Email
Skiing ability	Intermediate Advanced		Language preference	Select language English French

Lift tickets

You can purchase your lift tickets through the CSIA Atlantic for two or three days (the ski clinic on the third day is optional), or you can get your own lift tickets.

From the list, select your lift ticket option.

Payment information

Your registration is not complete until we receive your payment.

Your total payment is:

Number of participants x $250* + lift tickets ( + ) x $35/day = Total of $

Select a payment option.

I will mail a cheque  for the amount above payable to payable to CSIA Atlantic to:
     
       Mike Bosshard
       Treasurer, CSIA Atlantic
       18 Kensington Drive
       Moncton, NB
       E1E 3J3

I will pay through PayPal (with my credit card or PayPal account).  If you select this option click here before submitting this form to purchase via PayPal.  The PayPal form will open in a new window, please disable any pop-up blockers.

*Early bird Price. $250 for CSIA Atlantic Members registering before November 21, 2008.

Cheques must be received by November 25, 2008 to receive this benefit.

Persons registering after November 21, 2008 will be charged the regular rate of $300.