Ski / Snowboarding

1. Ski / Snowboarding Scheduled for: January 12th, 2018 -
March 16th, 2018 registration will be accepted if space is available on the bus

3. Passed due date on a first come first served basis, if space is available $35.00 late fees

Parent Name:*

Student Name:*

First NameLast Name

Parent E-mail:*

Class:*

Ski / Snowboarding Scheduled for:
January 12th, 2018 - March 16th, 2018

Ski: Ski Helmet MANDATORY
Snowboarding: A minimun of 6 registrations needed for the lessons to be given, Ski Helmet MANDATORY

I allow my child to go to:

SKI (Capitaines, Kindergarden, grade 1 to grade 6)SNOWBOARDING (Grade 3, 4, 5 & 6 only)$595.00 per Child

I Will Pay Through

My Total Amount Is:

If your child is not participating:

My child will stay at homeMy child will stay at the Académie (revisions or catch up work in class)

Information About Your Child
(Mandatory For Ski/Snowboarding Registration)

Shoe Size:*

Size of Ski Boot:*

Weight:*

Level:*

Height:*

Medicare Card Number*

(Deadline to submit Coupon: november 19th, 2017) See items 2 & 3 Above

Departure Time: 8:00 am

Arrival: 3:30 pm

Location: Académie Marie-Claire: 18190 Elkas, Kirkland, H9J 3Y4

Hospital: Hôpital Lakeshore 160, avenue Stillview Pointe-Claire, Québec H9R 2Y2 (514) 630-2225

IMPORTANT NOTICE TO READ AND SIGN
My signature as the parent confirms accepting that my child participates in this (these) activity (ies) and I hold Les Trésors de Marie-Claire, La Maternelle de Marie-Claire and Académie Marie-Claire, its officers, shareholders, and agents harmless of all injuries or harm that may result from inherent risks, dangers in any and all of the above activities.

Please sign your signature below with mouse or finger on tablets or cell phones*

Enter the message as it's shown*

Confirmation email will include PDF attachment for printing the form