DIRECTORS

Member School Clinic Request Form

Reminder; ALL participants must register online to participate in the clinic. Anyone needing education credit can choose that when completing their registration; cost is $50 (there will be a late registration fee if after the 10 days). An email with the link will be sent to you (director) once the clinic is scheduled (pending clinician availability). Registration will stay open roughly 10 days before clinic date (depends on the day of the week), and group size is a maximum of 8.

No registrations will be accepted the day of; aka no walk-ups.

Each education clinic costs $550 and an invoice will be sent to you after the clinic(s); i.e. one clinician/one day = $550. The education clinic fee will be paid in one payment to PSIA-NW via check or can be paid online in the school account via credit card.

CANCELLATION POLICY: CLINICS MAY BE CANCELLED UP TO FOUR WEEKS PRIOR TO THE DATE OF THE CLINIC. IF CANCELLED AFTER, THE FULL AMOUNT OF $550 PER CLINIC PER CLINICAN WILL BE DUE.

Director's Information
Snowsport School Director's Name*
First Last
Snowsports Director's Email*
Please enter your email address in case we have questions about the request.
Snowsports school*
Please list which snowsports school this member school clinic will be held at.
Date of Member School Clinic?*
Month
Day
Year
Clinic Information
Date of Member School Clinic?
If additional date is needed, enter below.
Month
Day
Year
Start time of clinic(s)?*

: Hours

Minutes

AM/PM
Describe the location where participants will meet the clinic leader the day of the clinic.*
How many clinic groups are you requesting?*
Please note each group can have a maximum of 8.
I confirm that all participants are instructors or volunteers at my school.*
All participants must be instructors or volunteers in order to run a PSIA-NW member school clinic. Thank you.
Choose the discipline of the member school clinic.*
You will need to fill out a new form for each discipline.
If you have contacted a clinician for this clinic, please enter their first and last name below.
Please include content you would like the clinician to share with your staff.*
Terms and Conditions
By checking the box below, I confirm that I have read and agree with the member school clinic terms.*
I understand the cost of each clinic is $550 per clinic, per clinician.

I also understand participants must register online for the member school clinic, and I will need to send them the link to register ahead of time, if there is room after registration closes the CEU cost will be at the full rate, and no registrations the day of the clinic, no walk-ups.

If you are passing the cost of the clinic(s) onto your instructors you will need to collect the monies and send PSIA-NW one check or pay by credit card in your school account.
I agree

DIRECTORS

Member School Clinic Request Form

Director's Information

Clinic Information

Terms and Conditions