Lesson Request Form ** Please note this is a request only and you will get a confirmation of booking separately.*** Please note that lessons cannot be cancelled inside of 48 hours prior and are non refundable at that point.Choose one of the Following* Member of Mansfield Ski Club Guest of a Mansfield Ski Club Member Reciprocal Club What is the name of the Senior Mansfield Ski Club member: First Last Name of Reciprocal Club - Please note: Your letter of introduction from your home club must be received by MSC prior to you requesting private lessons. Contact Name* First Last Contact Phone Number*Contact Email* Enter Email Confirm Email Name of Lesson Participant:* First Last Age of Lesson Participant:*3456789101112131415161718+Semi-private, 2nd participant name (if applicable): First Last Age of Second Lesson Participant:N/A3456789101112131415161718+Lesson Type:*SkiSnowboardAbility Level:*Brand New Skier/RiderBeginner (Green)Intermediate (Blue)Advanced (Black)Lesson Date and TimeRequested Date of Lesson: I.E. Sat Dec 17* Preferred Lesson Time, choose from below:*10:00 am11:00 am12:00 pm1:00 pm2:00 pm1-hour or 2-hour Lesson* 1-hour: $88.00 plus HST (Semi-Private $113 plus HST) 2-hour: $158.00 plus HST (Semi-Private $208 plus HST) Is there a specific instructor that you would like to book? Please enter their name below: Looking For A Series Of Lesson Dates? Write The Dates Here:Payment Details: If you are a non-member, a Visa or MasterCard number is required to reserve your lesson spot. Please enter the details below. *Credit card payments are subject to a 2.4% processing fee.Visa or MasterCard Details:Name on the CardCard NumberExpiry MM/YY3-Digit Code on the back of the card (CVC number) I understand: I understand that a valid lift ticket or MSC member badge is required for ALL lessons. Lift ticket and rental equipment costs are not included in the price of a lesson.