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Adult Program Registration |
| Application (please print) |
| Name: ______________________________________________________ Age: ___________ M / F |
| Address: _________________________________________________________________________ |
| City: ________________________________________________ State: _______ Zip ___________ |
| Phone: ______________________________ Email: ______________________________________ |
| Program: ________________________________________________________________________ |
| Day of Choice: ____________________________________ Time: _______________________ |
| Circle: ____Ski ____Snowboard |
| Rental: ____Skis ____Snowboard ____None |
| Skiing Level: 1 2 3 4 5 6 7 8 |
| Level 1 = Beginner Level 8 = Expert |
| Amount Enclosed: $____________________ Payment Method: ____Check ____Credit Card |
| Credit Card #: _________________________________________________ Exp.______________ |
| Signature: _______________________________________________________________________ |
| Cardholder's Name (please print): __________________________________________________ |
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Submit Application and Payment to: |
