$10 PROCESSING FEE IF APPLICATIONS ARE RECEIVED AFTER 12/5

Ski & Snow Sports School Programs

Application  (please print)
Name: ______________________________________________________ Age: ___________ M / F
Address: __________________________________________________________________________
City: ________________________________________________ State: _______  Zip ____________
Phone: ______________________________ Email: ______________________________________
School Name: _____________________________________________________________________
Program: _________________________________________________________________________
Day of Choice: ____________________________________  Time: _______________________
Lesson Type:   ____Ski     ____Snowboard
Rental:   ____Skis     ____Snowboard     ____None
Skiing Level:   1      2      3      4      5      6      7      8 (see Release for level descriptions)
Amount Enclosed: $_____________________  Payment Method:  ____Check   ____Credit Card
Credit Card #: _________________________________________________ Exp._______________
Signature: ________________________________________________________________________
Cardholder's Name (please print): ___________________________________________________

PLEASE REMEMBER TO SIGN AND ENCLOSE THE REQUIRED RELEASE!

Students requiring rental must visit the rental shop with a parent or guardian prior to December 25th to be fitted for equipment and to sign a required rental release form.

Submit Application and Payment to:
Bousquet Ski Area 101 Dan Fox Drive Pittsfield MA 01201
(413) 442 - 8316