ASI Course Registration

Early reservations help guarantee the course, your place on it and help us plan the best possible program for you. Your registration will be completed upon receipt of this registration form, along with full payment.

* All registrants MUST READ & AGREE (below) to our Terms & Conditions which includes our Cancellation & Refund Policy.

*A completed Medical Questionnaire (Step 3) must accompany your registration.

Alpine Skills International
11400 Donner Pass Road, Suite 200
Truckee, CA 96161


530-582-9170   Phone

 CONTACT INFORMATION

Course(s):
Course Date(s):
Price(s):
Name(s):
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
*Email:

 IN CASE OF EMERGENCY NOTIFY

Name:
Phone:
Email:

 PERSONAL INFORMATION

Date of Birth:
Height:
Weight:
Physical Condition: ? Fair  Good  Very Good  Excellent 

Our program relies on an accurate and honest self-assessment, making sure everyone is both physically and psychologically prepared for each program.
Medical History:
(We should know)


 RELATED EXPERIENCE

- FOR CLIMBING/MOUNTAINEERING COURSES -
 The following questions help us prepare you for your program with ASI.
 Have you:
Hiked over 8 miles? Yes  No
Hiked over 3,000' elevation gain? Yes  No
Backpacked overnight? Yes  No
Scrambled off-trail? Yes  No
Climbed with ice axe & crampons? Yes  No
Technical climbing with a rope? Yes  No

Related Outdoor Experience:
(Destinations/Climbs/etc.)


 TERMS & CONDITIONS

Yes, I have read, understand and agree to ASI's Terms & Conditions. I understand all ASI trips are non-refundable. We recommend Travel Guard trip cancellation, rescue and medical insurance.

Yes, I have read and understand the Skiing Ability, Technical Difficulty, Mountain Skill, Prerequisites and Physical Condition ratings posted on the course description page(s) that I am signing up for. I have provided an honest self-assessment to meet those requirements without jeopardizing my or others' safety on the program.

Yes, please subscribe me to the ASI Newsletter.

 PAYMENT INFORMATION

Credit Card: VISA  MasterCard  Discover
Credit Card Number:
Expiration Date:
V-Code:
Last 3 digits on back




 AVALANCHE COURSES

Please add $20 for AIARE Fieldbook (Required for Level 1 course)

Please add $10 for your own printed Student Manual (Not Required)
        A digital copy is included with your course and will be emailed with your Confirmation.
        A "Classroom Copy" will also be available for students to use during the course.

 SKI GEAR INFORMATION


FOR AVALANCHE & SKI COURSES
 What gear do you plan to use?

Alpine Touring skis
 Telemark skis
 Splitboard
 Snowboard w/Snow Shoes

 RIDE & ROOM SHARING

Yes, I'm interested in Ride Sharing
 Yes, I'm interested in Room Sharing

By checking the box, you authorize ASI provide your email address to other participants on your course for the purpose of coordinating your own Ride or Room Sharing arrangements.

























































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