Ski Instruction Liability Release Form
Complete this form to provide participant details, lesson information, and the ski instruction liability release before instruction begins.
Participant Information
Participant Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Ski Instruction Details
Lesson Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Lesson Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Ski Area or Resort Name
*
Instruction Level
*
Please Select
Beginner
Intermediate
Advanced
Instructor Name (if known)
Liability Release and Signature
Participant / Parent or Guardian Signature
*
Submit
Submit
Should be Empty: