Participant Information
 
  First Name:  
  Last Name:  
  Date of Birth:  
(MM/DD/YYYY)
 
  Ski or Snowboard  
 
  Do you need Rentals?  
 
  Please provide the following if rental equipment is needed:
     

Height

Weight

Shoe Size
  Mailing Address:  
     

City

State

Zip Code
  Home Phone:  
  Mobile Phone:  
  Email:  

Parent/Guardian/Emergency Contact Information
  Emergency Contact:  
  Phone: