SKRASTINS GUEST REGISTRATION FORM

GUEST REGISTRATION FORM
Thank you for your interest in Skrastins.

As a first step to becoming a Skrastins guest, please complete the following form. If you have any questions please contact us through our website Contact Us page.
First Name*
Last Name’*
Email*
Phone Number*
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Todays Date*

MonthDayYear
Today’s Date
Hour Minutes
Our passion ...
Guest Trip Number*

First tripSecond TripThird trip
Activitiy of Interest*

Cross Country SkiingSnowshoeing / Icers
Activity Performance Level*

A1A2B1B2 (Default)C1C2
Emergency Contact Name (Required)*
Emergy Contact Phone Number (Required)*
Optional Secondary Emergency Contact Name
Optional Secondary Emergency Phone Number
Parks Canada Pass*

I will pay the additional single entry Park entry fee of $10I possess a Parks Canada Pass
Parks Canada Pass Type*
Parks Canada Pass Number*
Parks Canada Pass Expiration Date*
MM / YY Format
Would you like to be added to the Skrastins Guest email list?*

YesNoOn the list already
How did you hear about Skrastins*

InternetMember ReferenceOther ClubSkrastins WebsiteOther
Comments or Feedback
Should be Empty: