Registration for Glacier Snowboard Camp

Click Here for a printable registration form.

Name of Athlete:

Name of Parent (if minor):

Sex:

Level of Expertise:

Address:

City/Town:

Province/State:

Country:

Postal Code:

Phone:

Fax:

E-Mail:

Health Insurance Co:

Health Insurance #:

Birth Date:

Birth Year:

Would Like To Room With:

Session #1, Adult Camp

Jun 26 - July 3:

Session #1, Standard

Jun 26 - July 3:

Session #2,

July 3 - Jul 10:

T-Shirt Size

Med

Round trip from Vancouver airport? (CAD$60)

Yes

Payment Method:

Total: CAD$300.00
	Credit Card
	Cheque
Makes Cheques Payable to: Glacier Snowboard Camp #219-2222 Castle Drive Whistler, BC V0N 1B2

Credit Card Information

*Note all credit card information submitted is completely secure. Your credit card will not be billed until you have been contacted by one of our reperesenitives.

Card Type:

Visa

Amex

Complete Name on Credit Card:

Credit Card #:

Credit Card Expiry:

Cancellation Policy:

Deposits are non-refundable
If you cancel before June 10, you will recieve all your money back minus the deposit.
After June 10 2007, there are no refunds.

Additional Comments:

Verification:

Please enter the verification code below to help us prevent against fraud.

PLEASE NOTE THAT THE FORM MAY TAKE A FEW MOMENTS TO SUBMIT.