CCSA Volunteer Registration Form

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Volunteer Information

First Name Last Name
Primary Phone Secondary Phone
Address City
State Zip
Occupation Email
Shirt Size
Tell us how you learned about CCSA

Emergency Contact Information

Primary Phone Secondary Phone


Would you be interested in working on a Committee?
How many previous years have you volunteered with CCSA?
Are you comfortable accompanying a disabled skier on a chair lift?
Describe any prior experience you've had with people with disabilities:
Ski Level
Please indicate all times you are available
If there is a student with whom you wish to ski, please note name here:
Would you be willing to teach multiple lessons?

Cannonsburg now charges CCSA for volunteer rental skis. This has added considerably to the program cost. Will you be able to furnish your own skis for lessons?

Training Desired

You do not need to decide if you are unsure or new to the program.
Bi Ski & Mono Ski
Developmentally Disabled / 3-4 Track / Sensory Impaired


All instructors are required to become members for insurance and liability reasons. Membership is $30.
Additional Donation


Please bring a check for your membership fee ($30) and any donation you would like to make, to the dry-land training on 12/7/2017 or mail to the address as follows, or hit the donate button:
PO Box 352
Ada, MI 49301