Please provide as much information as possible. Items marked with an (*) are mandatory fields. Thanks again for your interest in the Alpine Valley Ski Patrol.
First Name:
Last Name:
Address:
City:
State:
Michigan Ohio Ontario Other
Zip Code:
E-mail Address:
Home Phone:
Cell Phone:
Birthdate:
Occupation:
Have you ever been a member of the National Ski Patrol?:
Yes No
Activity:
Skier Snowboarder Both
Please describe any of your medical training or background that may benefit the Ski Patrol.
Please describe your skiing history including classes, ski areas and number of days skied per year.: