User account

Username *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Name and Address

First Name *

Last Name *

First and last name will be shared with other visitors to the site.

Street Address (Home)

City (Home)

Postal Code (Home)

Country (Home)

Your state/province and country of residence will be shared with others so folks can find others in their community.

State (Home)

Instructor

Please indicate the date when you were first CANSI certified for Telemark. This range must indicate continuous certification with a lapse in certification of no more than one year.

Instructing Telemark Since *

(clear)

Please indicate if you are able and willing to teach courses for Freeheelers United this current season

Status *

Yes No

Please indicate your highest current level of CANSI Telemark Certification

Current Certification *

Please indicate the highest current course conductor level you have achieved.

Current Course Conductor Level

Please upload digital file providing proof of your current level of certification. THis can be a scan of your current instructor certification or a screen-shot of your instructor profile at http://cansi.ca

Certification Documentation *

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