Niseko Moiwa Ski School Registration Form

PRIVATE LESSON

Please return preferably by email at skischool@niseko-moiwa.jp, otherwise fax it to +81 (0) 136-59-2511. After you fill out thisorder request, we will contact you to go over details and availability before the order is completed.

LESSON INFORMATION
Date of lesson

Hours (2 / 3 hours)

Number of Adults

Number of Children

Morning / Afternoon

Type of Lesson (Ski / Snowboard)

STUDENT PARTICULARS (UP TO 4 PERSONS)STUDENT #1NameNationality

Age

Gender

AgeGender

AgeGenderAgeGender

Ski / Snowboard Skill Level
Never skied / snowboarded

Beginner

Intermediate

Advanced

STUDENT #2
NameNationality

Ski / Snowboard Skill Level
Never skied / snowboarded

Beginner

Intermediate

Advanced

STUDENT #3
NameNationality

Ski / Snowboard Skill Level
Never skied / snowboarded

Beginner

Intermediate

Advanced

STUDENT #4
NameNationality

Ski / Snowboard Skill Level
Never skied / snowboarded

Beginner

Intermediatewww.niseko-moiwa.jp
Niseko MOIWA Ski School
448 Niseko Aza, Niseko-cho, Abuta-gun, Hokkaido, Japan 048-1511 +81 (0) 136-59-2511

AdvancedEMERGENCY CONTACT INFORMATION
Name

E-mail Address

Phone

RelationADDITIONAL INFORMATION (IF APPLICABLE)
Name of Hotel you are staying atRoom Number

What is the objective of this lesson? (Tick options that apply)
Fun with Family & Friends

Upgrade skills

Others (please fill in below)

www.niseko-moiwa.jp
Niseko MOIWA Ski School
448 Niseko Aza, Niseko-cho, Abuta-gun, Hokkaido, Japan 048-1511 +81 (0) 136-59-2511

ACKNOWLEDGEMENT AND ACCEPTANCE OF RISKS• I am fully aware that snow activity is an inherently hazardous and dangerous activity that can result in harm, loss, damage,personal injuries, or death.
• I am further fully aware that the risk of participation in snow activity, include but are not limited to, impact or collision
with other participants or spectators; personal injury including bruises, abrasions, broken bones, paralysis, head injuries,
Internal injuries; death; property damage and loss of property.
• I voluntary assume full responsibility for any risks of loss, property damage or personal injury, including death that may besustained by me, or any loss of or damage to property owned by me, as a result of being engaged in this activity.
• I AGREE TO INDEMNIFY AND SAVE HARMLESS the releasees from all loss, damage and expense of any kind orcharacter arising out of injury, death, damage or loss sustained by me due to participation in this activity.
NameSignature

Date

BOOKING POLICY• All lesson and activity prices are priced in JP Yen and include
applicable taxes.
• Lessons MUST be booked in advance and guests will asked tofill out a registration form which includes contact information,skill level.
• All children registering for lessons and activities must haveparent’s consent.
• All services must be paid in advance at the time of booking.
• Guests who cancel within 48 hours of the date of activity will
be charged the full fees.
• Guests who are “No-shows” to their activity on the date
determined will be charged the full fees.
• Guests who are more than 20 minutes late for a private lesson
without contacting MOIWA SKI SCHOOL are considered“No-shows” and the instructor(s) may be reassigned without
refund. Lessons begin at the indicated start time. Pleasearrive 5 minutes early.

• If you expect to be more than 20 minutes late for private
lessons or 5 minutes late for group lessons, please contact
us at +81 (0) 136-59-2511. Failure to do so may result inreassigning the instructor without refund.
• Guests who have purchased their lessons through a travel
agency or tour operator must request cancellation throughthose sources, which invariably have different cancellation
and refund conditions. As such we cannot process suchrefund requests.
• Refunds will only be considered in the following situations:- Weather conditions preventing operation of all lifts.
- Mechanical failure preventing operation of all lifts.
- Injury or illness (A Doctor’s note must be provided)• If you require rental equipment, we recommend that youorganize this the evening before the lesson commences.

www.niseko-moiwa.jp
Niseko MOIWA Ski School
448 Niseko Aza, Niseko-cho, Abuta-gun, Hokkaido, Japan 048-1511 +81 (0) 136-59-2511