Pinecrest Nordic Ski Patrol
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Prospective Membership Questionnaire

First Name: Middle Initial:
Last Name:
Address:
Address line 2:
City:
State: Zip Code:
Phone:
Fax:
E-Mail:
Related past experience - skiing, search & rescue, hiking & backpacking, etc.
First Aid - CPR & Emergency Response Training & Experience:
Self rate your current level of skiing ability:
What kind of skis and boots are you now skiing on?
What are your goal expectations in relationship to your personal skiing and outdoor skills for the next 2 - 5 years?
How did you hear about us?
Any personal medical or physical difficulties we should be aware of:
The Pinecrest Nordic Ski Patrol is a member of the National Ski Patrol System, Inc. as a federally chartered educational association, and functions in association with the Stanislaus National Forest serving the ski and outdoor community by providing exceptional education programs.



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