Quebec City Student Info Rental Form

To ensure your child has the ultimate ski experience, please complete all of the following details. We also require the attached Rental Waiver Form to be completed in full, ensuring that you sign and initial both sides of the form in four places. Experienced instructors and rental technicians will use this information to prepare for the day. Please complete this online form prior to departure so that Breakaway Tours can forward the correct information to the mountain on your behalf. This will ensure reduced wait times.

Only fill out this sheet if you have already signed up and paid for your rentals through the online portal. You cannot pre-order rentals without having pre-paid for them, and adding them to your profile through your portal.


Name *
Name
Please include full name (i.e. Joseph Allan Smith)
Please select gender *
Date of Birth *
Date of Birth
(mm/dd/yyyy)
Address *
Address
Program Dates *
Please Select Your Choice *
Please choose your ride style *
Skier Type *
Please Indicate Height *
Please Indicate Weight *
US - Canada Sizing
Please Indicate Age *
Parent/Guardian Name *
Parent/Guardian Name
Please include full name.
Parent/Guardian Emergency Contact *
Parent/Guardian Emergency Contact
i.e. 555-555-5555
I understand that this information is very important for the safety of my child. I verify that the information I have provided to Mont St. Anne Ski Resort is complete, correct and accurate. *
I have read and understood the rental waiver form located in the forms section of the Breakaway Tours website and will return it with my signature or my legal guardian's if I am under 18 years of age. *