Recurrent Training RegistrationRecurrent Training Application Application for Whistler and Kootenay locationsContact InformationName* First Last Personal Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*Email* Enter Email Confirm Email We will be contacting you by email so please make sure it is correct after entering - Thank youCSGA Member level*NoneLevel 1 CSGALevel 2 CSGALevel 3 CSGAOtherPlease select one of the below.If you selected "Other" please describe:Date Completed MM slash DD slash YYYY Employer*Who are you working for this season ?Contact Person First Last PhoneRegistration AgreementRecurrent Training / Retest Options*Select OneRTC ONLYRETEST ONLYBOTHIf you are attending RCT only please select RCT ONLY If you are attending for Beacon Retest Select RETEST ONLY If you are attending RTC & Retesting please select BOTHI*, hereby apply for registration in the CSGA CourseEnter Course & Location*Please Select:Recurrent Training - Whistler 2019Recurrent Training - Kootenays 2019I understand that the following conditions apply:a) The course fee for each of these courses is:Level 1 $2335.00 + GSTLevel 2 $2650.00 + GSTLevel 3 $1325.00 + GSTLevel 3 $1325.00 + GSTSGSC $1325.00 + GSTb) Once you receive an acceptance email for the course application a non-refundable deposit of $350.00 is payable to the CSGA/CSGI. A link for this payment will be sent via email. Once payment is received, a seat on the course will be reserved in the students name. The full course fee is due 50 days prior to course.c) The deposit constitutes a non-refundable registration fee. Insurance for the remainder of the fee can be purchased by clicking the link provided within the course fee payment page.d) The tuition fee includes instruction, CSGI Manual/PDF and heli lift/time where applicable. e) The course may be cancelled due to insufficient enrollment. * I recognize that the course I have registered for takes place in hazardous mountain terrain. I agree to sign a waiver as printed in the brochure at the commencement of the course. * If this application is accepted, I agree to abide by the rules of the course, to be in regular attendance and to carry out the instructions of the administrator and the instructors of the course.f) I certify that my age is over 19 years.CaptchaPost Custom FieldEmailThis field is for validation purposes and should be left unchanged.