Lesson Request Form

Buyer Name *
Phone Number *

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Email *
Billing Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Lesson Program of Interest *
 1st Day Deal - $39 
 EZ 1-2-3 - $99 
 Private Lesson with Your Own Instructor - $30 
 Private Lesson Discounted 3 Pack - $75 
 All Mountain Ski Team - $195 
 All Mountain Moms - $99, $149, $199 
 SnowBoard Session - $80 
 Ride Great Divide! Park Team - $99 
 SnoKids Pre-School & Kindergarten - $10 
 Girls Fun Friday Lessons - FREE 
If you are unsure of which program you are interested in, please return to http://www.skigd.com/lessons.html to read more about our numerous programs.
What would you like to do? *
 Ski 
 Snowboard 
Skill Level *
 Beginner 
 Intermediate 
 Advanced 
First Choice Date/Time *

MM
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YYYY

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MM

AM/PM
Second Choice Date/Time

MM
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DD
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YYYY

HH
:
MM

AM/PM
Student #1 Name *

First

Last
Student #1 Age
Student #2 Name

First

Last
Student #2 Age
Student #3 Name

First

Last
Student #3 Age

Equipment Rental Information

This information is required if you need to rent equipment from us.
Student #1 Height
Student #1 Weight
Student #1 Shoe Size
For Skiiers: Binding Retention Setting?
 Type I - Ski Cautiously (prefer slower speeds, gentle to moderate pitch, entry-level skiiers uncertain of their classification) 
 Type II - Ski Moderately (prefer a variety of speeds, varied terrain) 
 Type III - Ski Aggressively (prefer faster speeds, prefer moderate to steep pitch) 
For Snowboarders: Which Foot Forward?

 Left Foot Forward (most people prefer this) 

 Right Foot Forward (some people prefer this) 

Helmet Desired?
 Yes 
 No 
Student # 2 Height
Student #2 Weight
Student #2 Shoe Size
For Skiiers: Binding Retention Setting?
 Type I - Ski Cautiously (prefer slower speeds, gentle to moderate pitch, entry-level skiiers uncertain of their classification) 
 Type II - Ski Moderately (prefer a variety of speeds, varied terrain) 
 Type III - Ski Aggressively (prefer faster speeds, prefer moderate to steep pitch) 
For Snowboarders: Which Foot Forward?
 Left Foot Forward (most people prefer this) 
 Right Foot Forward (some people prefer this) 
Helmet Desired?
 Yes 
 No 
Student #3 Height
Student #3 Weight
Student #3 Shoe Size
For Skiiers: Binding Retention Setting?
 Type I - Ski Cautiously (prefer slower speeds, gentle to moderate pitch, entry-level skiiers uncertain of their classification) 
 Type II - Ski Moderately (prefer a variety of speeds, varied terrain) 
 Type III - Ski Aggressively (prefer faster speeds, prefer moderate to steep pitch) 
For Snowboarders: Which Foot Forward?
 Left Foot Forward (most people prefer this) 

 Left Foot Forward (most people prefer this)

Right Foot Forward (some people prefer this) 

Helmet Desired?
 Yes 
 No 
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