Register for Winter Programs

First Name Last Name Whistler Adaptive Membership # (Don't have one? Click Here to get your membership) If child, parents' / carers' names

Address City Province/State Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua/BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBIOTBoliviaBosnia/HerzegowinaBotswanaBouvet IslandBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCARCayman IslandsChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCook IslandsCosta RicaCote D'ivoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominican RepublicEast TimorEcuadorEgyptEl SalvadorEritreaEstoniaEthiopiaFalkland IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench So. LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard/Mc Donald Isl.HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorth KoreaNorthern Mariana Isl.NorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts/NevisSaint LuciaSamoaSan MarinoSao Tome/PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovak RepublicSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSri LankaSt. HelenaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks/Caicos IslTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Isl. (British)Virgin Islands (U.S.)Wallis/Futuna Isl.West BankYemenYugoslaviaZaireZambiaZimbabwe Postal/Zip Code Phone Mobile Phone Email Address

Address (if staying at a hotel, provide the hotel name and room number) Phone

Name Phone

Name Phone Last medical check up date

Date of birth Height (please include ft/in or cm) Weight (please include lb or kg) Have you been in our program before? YesNo Seat Size (if in wheelchair) Gender MaleFemaleOtherPrefer not to answer Preferred pronoun Type of disability How long have you had the disability? Fluent in English? YesNo Could there be a language barrier? YesNo If yes, please specify Number of people in your travel party

Is there any medical reason why skiing may affect your physical health? If yes, we will require a letter with your doctor's consent. YesNo Have you had a recent (less than 2 years old) spinal injury? If yes, we will require a letter with your doctor's consent. YesNo Have you been advised by a medial professional not to participate in sports? If yes, we will require a letter with your doctor's consent. YesNo I have read the above and acknowledge that I DODO NOT need a doctor's consent.
Do you wear contact lenses? YesNo Please list any prescription medications you are currently taking. Name of Medication - Time Schedule and Dosage - Purpose Is the above self-administered? Please note the Whistler Adaptive Sports Program is not able to assist with the administration of medication. YesNo Allergies

Do you have a history of any of the following? Epilepsy YesNo Seizures YesNo Spasticity YesNo Diabetes YesNo Asthma YesNo Heart disease YesNo Lung disease YesNo Kidney disease YesNo If yes to any, please specify BC Care Card number Other health plan name Other health plan number Describe any limitations that may affect any of the following. Mobility Visual abilities Hearing abilities Communication Comprehension Endurance Describe any specific support or personal needs PLEASE NOTE OUR INSTRUCTORS ARE NOT RESPONSIBLE FOR ANY TOILETING THAT MAY BE REQUIRED. If this is required a family member or caregiver will be required to meet during the day as needed.

I would like to participate in Sitskiing - Full AssistSkiingSitskiingSnowboardingWould like to try more than one optionOther Experience in this activity None1-2 days3-6 days7-15 days15-45 days45+ days100+ daysTime last skied The last time I participated in this activity was Within 1 year2-5 years ago5-10 years ago10+ years agoNever Most of my experience was at: (ie. name of ski resort) Skill level in this activity NoneBeginnerBeginner - IntermediateIntermediateIntermediate - AdvancedAdvancedExpert Do you need rental equipment from us YesNo Type of Adaptive Skiing Stand upSit downDon't know Equipment requirements SkisSnowboardSitski I am with Ride Tribe/Schools YesNo What is your motivation for skiing What are your goals and expectations for your ski/snowboard experience Additional comments Date(s) I would like to book Please note booking confirmation will be done over the phone. We will call you within 48 hours to confirm your booking provided space is available. Please have your credit card ready at this time to pay for your reservation. Your booking is NOT confirmed until payment is received in full.

Cancellation Policy
Cancellation with more than 48 hours notice of the scheduled lesson will result in a full refund, minus a $10 processing fee. A refund will not be granted for cancellations made with less than 48 hours notice prior to lesson. (Extenuating circumstances will be considered on an individual basis).

Check In
Our check in counter is located in Whistler Village. We are in the Carleton Lodge, in a store called Essentially Blackcomb. Find the gondola for Whistler Mountain in Whistler Village. With the gondola to your back you will be looking right at Essentially Blackcomb. We are located at the far end of the store. There is a wheelchair ramp to the left side of the building (with the gondola to your back). Please contact the Program Office at 604-905-2071 if you are delayed for any reason.

At check in on the first day of your lesson(s) you will need to allow 10 minutes to fill out and sign the required documentation.

1. Read and sign a waiver form.
2. Accept or decline permission for WASP to use any photos or video taken with you in it for our website photo gallery or for advertising etc.
3. Show proof of your WASP Membership (Mandatory to participate within a Whistler Adaptive Sports Program lesson. CLICK HERE TO PURCHASE

Financial Assistance
We do offer Bursary Assistance for students that cannot afford the above prices. Please contact us if you would like to be sent a Bursary Application Form.

Please note that the Whistler Adaptive Sports Program is a Not-For-Profit Society. Our prices have been set to provide as many people as possible with the opportunity to access our beautiful mountains and enjoy the freedom of skiing and snowboarding. These costs do not reflect the true cost of running our program. We rely on donations, sponsorship, fundraising efforts, and volunteers to provide our services. Should you feel that you are financially capable we ask that you donate to our program to ensure our program's continued success.