University Prep Ski Program 2010 At Stevens Pass
Youth Form (12 and Younger!)    -   Due December 4, 2009!   


DIRECTIONS:

1. While still on-line, fill-out the form below. 
2. Check-off all the appropriate boxes.
3. Fill out the method of payment at the bottom and print this page from your browser as well as all Liability and/or Fitting forms.
4. Have your child deliver this printout and payment to the Main Office.
5. If you receive financial aid and would like to receive financial aid for the ski program, contact Tee-Ta Walker in the Admissions Office.

Full Name: Grade:
Address: City:
Zipcode: Evening Ph:  

Emergency Ph: Emergency Contact Person:  
Email:   Non-UPrep Student:      Bellevue Drop:  

PLEASE COMPLETE THE FOLLOWING FORM:

Basic Package:
Lift Tickets and Transportation

Youth Rates  (12 & younger)
Lift Tickets
Transportation $40/day

Bus transportation to Stevens is required for all students.  Please check only the dates you are attending, even if you are not purchasing lift tickets.
1 - Jan 8   $25 Yes
2 - Jan 15 $25 Yes
3 - Jan 22 $25 Yes
4 - Jan 29 $25 Yes
5 - Feb 5 $25 Yes
6 - Feb 26 $25 Yes
7 - Mar 5   $25 Yes

Credit Card Payments: Visa/MC? 

Name on card: 

Card #:  

Expiration Date:   

Checks Payable to: University Prep Ski Program
 This form is due by Dec 4, 2009!

Additional Services:
Rental Gear and Lesson

Rental Gear (All gear leased for 7 weeks): $119
 Check:  Skis or Snowboard
Skis, boots, poles Snowboard/Boots
Click HERE for the Sizing Chart form
and return with your registration form.
Lessons (First 5 weeks - 1.5 hours per class)
Check: 1. Downhill or Snowboard, 2. Ability Level.
All lesson participants must
fill out Stevens Liability Form.
  Downhill $160 Snowboard $160
Click on Ability Level:
1st Time Beginner
Intermediate Advanced

Total Costs


$20.00 Registration Fee Required
(Already included in total)

Your total for basic registration, lift tickets, transportation, rental gear, and lessons is:


Be sure to read and fill out the UPrep
Liability Form when you have finished with this form.