Santiam Pass Ski Patrol On-line Application

Hoodoo Ski Area



First Name: Middle Name:
Last Name:

Address Line 1: Address Line 2:
City: State: Zip:
Home Phone:
Day Phone:
Evening Phone:
Email Address:

NSP Registered? Yes No
Current Classification:
Senior? Yes No Senior Year:
Last Patrol:
Last Division:


NSP Certifications:
Enrollment Classification:

Enrollment Status:


CPR Certification? Yes No
CPR Expiration:
First Aid Certified? Yes No
First Aid Organization:
First Aid Expiration:

First Aid Teaching Experience:


Mountaineering Experience:

Season's skiing:
Seasons at Hoodoo:

Other Organizations: