Canadian Ski Patrol
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National Database System (NDS)

 

Add me in Eastern Township Zone

Division: 03 (Quebec)
Zone: 03 (Eastern Township)
Preferred Area:
2nd Preferred Area:
....

Personal Data

+First Name:
Middle Name:
+Last Name:
+Address:
 
+City:
+Prov./State:
+Country:
+Postal Code/Zip Code:

 
+ Required fields

+Home/Primary Telephone No.
(819-123-4567):

Work Telephone No. (819-123-4567):
Ext:
 Fax Number (819-123-4567):
Cell. Number (819-123-4567):
Pager (819-123-4567):
Primary Email :
Secondary Email :

 

+ Required fields

CSP Publication Preferences

Language: ......

 

Other Information

Occupation:
   
Employer:
   
 +Date of Birth (YYYY-MM-DD):
   
   
......Sex:
 

+ Required fields

 

To the best of my knowledge, I do not have a criminal record nor am I aware of currently being under investigation.
I am aware that CSP or its representative reserves the right to request from me, at my expense, a criminal record and child abuse registry check.

 

 

 

 


 

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