MTR 2024 Registration Form

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Personal Information

First Name *

Middle Initial

Last Name *

Gender *

Male

Female

Non-binary

Prefer not to disclose

Age *

Address and Contact Details

Email *

Day Phone *

Evening Phone

Address1 *

Address2

City *

State *

Zip *

Emergency Contact

Emergency Contact Name *

Emergency Contact Day Phone *

Emergency Contact Evening Phone

Additional Information

What is your group's name and affiliation? *

Example: NSP/Pinecrest Nordic, SAR/Tuolumne County

NSP Member ID

NSP Members only need to answer this.

NSP Patroller Status

NSP Members only need to answer this.

What is your motivation for taking this class? *

What would you like to get out of this class? *

What is your level of winter outdoors experience? *

Do you have any past Search and Rescue experience? *

Waiver *

You will be required to sign a waiver before participating in this course. For a preview of the complete waiver see: http://www.pinecrestnordic.org/files/education/mtr1/Far_West_Division_release_Avy_and_MTR.pdf

I'm cool with that (this is not an acceptance of the waiver)

I am over 18

Required

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