Winter Programs Team Powderhorn Adaptive Ski and Snowboard Racing

ATHLETE AND TRAINING PARTNER TEAM POWDERHORN PRE-REGISTRATION:

Team Powderhorn: Adaptive Racing
Team Member Type: Athlete    Training Partner
Which discipline: Ski Racing    Snowboard Racing
Skill Level: Beginner
Intermediate
Advanced
Don't Know
 
Have you partcipated in competitive skiing or snowboarding before?
If yes, please provide details:
 
About Participant
 
First Name:
Last Name:
Street Address:
City:
State: ZIP:
Phone Number: (xxx-xxx-xxxx)
E-mail address:
Date of Birth: (mm/dd/yyyy)
Gender: male    female
 
Emergency Contact
 
First Name:
Last Name:
Phone Number: (xxx-xxx-xxxx)
 
PARENT OR GUARDIAN
If under 18, parent or guardian information is required.
 
First Name:
Last Name:
Address:
Home Phone Number:
Work Phone Number:
E-mail address:
Relationship:
Comments:
 



Member School of the Professional Ski Instructors of America and American Association of Snowboard InstructorsMember School of the Professional Ski Instructors of America
and American Association of Snowboard Instructors,
Rocky Mountain Division.
PSIA-RM web site: http://www.psia-rm.org

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