Winter Reservation Request - Winter 2024/25

Contact Information

Participant Name *

Caregiver/Parent Name

Phone *

Email *

Address 1 *

Address 2

City *

State/Province *

Zip *

Participant Information

Birth Date *

// (mm/dd/yyyy)

Age

Gender *

Height *

Weight *

Please note: the weight limit for the mono-ski and bi-ski is 220 lbs

What is your primary disability? *

What is your secondary disability?

Means of Mobility *

Seizure in the last 2 years? *

Reservation Information

New or Return *

What Program would you like to participate in: *

Please Note: For buddy days the skier/rider is required to be at an advanced level (level 7 or higher). Level 7 Skier - parallel skis on all blue terrain and groomed black terrain. Level 7 Rider - I am able to ride all blue terrain in varied conditions and working on easy black terrain, including bumps, trees, and terrain parks. All blue terrain and groomed black terrain

Duration: *

Ability Level: *

What is your preferred snowsport: *

*Please describe adaptive equipment you have used before, or would like to use:

Pro/buddy requested:

Ski Dates: *

Does the participant need a lift ticket? *

Do you need an Aspen Card? *

Do you need rentals? *

Anything you would like to add:

Neon CRM by Neon One

Timeout Warning

Winter Reservation Request - Winter 2024/25

Contact Information

Participant Information

Reservation Information