Queenstown Alpine Ski Team
Email address
Athletes Name
Your answer
Date of Birth (example 01/12/00)
DD/MM/YY
Your answer
Gender
School Attending 2017
Year at School 2017
Parent/Guardian 1 Name
Your answer
Parent/Guardian 1 Phone contact
Mobile no Home no
Your answer
Parent/Guardian 2 Name
Your answer
Parent/Guardian 2 Phone contact
Mobile no Home no
Your answer
Emergency Contact name (Cannot be Parent or Guardian)
Your answer
Emergency Contact No (Cannot be Parent or Guardian)
Mobile no Home no
Your answer
Athlete Residential Address
Your answer
Age Group and Programme (Deposit is non refundable)
Speed Camp U14/U16
School Skiing for Year 8 and below excluding JA
Injury Insurance
Payment Options. Non refundable deposit to be paid on the 15th March 2017, Instalment dates 1st June 2017 and 27th July 2017.
If QAST invoices are not paid 10 working days after invoice due date, interest will accrue at 2% per month and credit cards will automatically be charged on the 10th day. Any issues with processing credit card payments will result in the athlete being withdrawn from training until full payment is received. All QAST athletes are required to submit valid credit card details to ensure invoice payments are duly paid.
Credit Card Details (Visa or Mastercard only).
Name on card
Your answer
Card Number
Your answer
Expiry Date (card must be valid for at least 12 months)
Month/Year (example 01/18)
Your answer
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