Skier Questionnaire

Skier Questionnaire

V3
If you have any problems with this form:

Ring Andy on 07868 660756
or
email snowbuddiesuk@gmail.com

Note:- Your passport must comply with the new EU rules.
Section 1

Personnel Details
Mr/Mrs/Ms/Miss/ Other*
Preferred Name*
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Address*

Street Address

Line 2 (optional)

TownCountry

Post CodeCountry
Mobile Number*

Area CodePhone Number
Email*
example@example.com
Upload a photo.*

head and shoulders is good
Cancelof
Section 2

Ski Catagory
BeginnerIntermediateAdvanced
No of years skied*
A brief description of previous ski experience*
Stand up 3 track skierStand up 4 track skierStand up unaided skierIndependent sit skierDependent Piloted sit skierVisually impaired skierHearing impaired skierFirst time skierNot sure (we will contact you)Other
Sit SkiOutriggersSkisski bootsHelmetNone of the above
I will need to hire the following*
Section 3

PSA
YesNo
If you need a PSA it is your responcibility and a PSA questionaire must be completed. This option needs agreement with Snow Buddies. We will contact you.
Section 4

Health Questionnaire - To help us help you during the trip
Disability and how it affects you*
WalkerWalker with aidManual wheelchair userPowerchair user
Any assistance you might need when out skiing*
If you have answered yes to the above please explain
Section 5

Documentation
Suitable insuranceIn date passportEHIC/GHIC
Section 6

Method of travel
GatwickBristolManchesterSelf Drive
Name as written on passport*
Passport No*
Issue Date*

DayMonthYear
Expiry Date*

DayMonthYear
Date of Birth*

DayMonthYear
Section 8

Contact details in the UK (in case of an emergency)
Relationship to you*
Name*
Email*
example@example.com
Phone or Mobile Number*

Area CodePhone Number
By BAC's - to Snow Buddies UK, sort code 30-84-79, Acc No 54225160By cheque - made payable to Snow Buddies UK and posted to 30 Prescelly Close, Nuneaton, CV10 8QA
By pressing the submit button I confirm that:-

I have read and fully understand all questions.
I have answered all questions to the best of my knowledge.
I agree to all Snow Buddies terms and conditions, available on our website. https://www.snowbuddiesuk.com/ski-trips
I have no objections to photographs and video clips being taken during the trip and being used for the future benifit of Snow Buddies UK.

Please ensure you have answered all of the questions before submitting this form
Snow Buddies UK, 30 Prescelly Close, Nuneaton, CV10 8QA

www.snowbuddiesuk.com - 07868 660756 - snowbuddiesuk@gmail.com

Reg Charity No in England and Wales 1167386
Should be Empty:

Skier Questionnaire

Section 1

Section 2

Section 3

Section 4

Section 5

Section 6

Section 8