Canadian Ski Instructor's Alliance

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CSIA National

Online Registration Northwestern Ontario

Please Complete The Entire Form - Northwestern Ontario
First Name
Middle Name
Last Name
Date Of Birth		Day Month Year
Permanent Address
City
Province
Postal Code
Phone	H	Area Code
	B	Area Code
	Cell	Area Code
Email
CSIA Member Number (not required for level one registration)
Please specify the program you wish to attend (check one)
		Level I Course CSIA - STANDARD 4 DAY FORMAT
		Level I Course CSIA - NEW 2 DAY FORMAT
		Professional Development Session
		Central Canada Member's Convention
Course Location
Course Dates

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