Michigan Ski For Light - Mobility Impaired Registration

Michigan Ski For Light
32900 Hees
Livonia, MI 48150
United States
ph: 734-612-4619
alt: 734-666-0814
ksridsdale@msfl.org

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Mobility Impaired Registration

Please complete all sections, any registration questions contact Geri at:

registration@msfl.org

Check out our clothing page

2012 MSFL

Mobility Impaired Registration

*First Name:

*Last Name:

*Email:

*Phone:

*Address Line 1:

Address Line 2:

*City:

*State/Province:

*ZIP/Postal Code:

*Country:

*Room Type

RAM Center Standard Double Room with RAM Meals - $145.00 RAM Center Standard Single Room with RAM Meals - $200.00 No Room or Meals required - $25.00

*Meal Type:

Standard Vegeterian

*Cross Country Ski Rental

Rental Needed - ADD $30.00 No Rental Required

Shoe Size

Your Weight

Your Height

*Transportation

Own Transportation Transportation Needed (all transportation provided will be from a common pick-up and drop off location) - Add $20.00

*Experience Level

Beginer Intermediate Advanced

Comments and Special Needs

*Total Payment Due

Please make check payable to MSFL
Mail payment to
MSFL
32900 Hees St
Livonia, Michigan 48150

*Emergency Contact:

Name

Address

Phone

*Medical Information:

List of Prescriptions, Dosages, and Frequencies.

*Estimated arrival time at the RAM Center

Submit

Confirmation email of registration will be sent within 24 hours

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Michigan Ski For Light
32900 Hees
Livonia, MI 48150
United States
ph: 734-612-4619
alt: 734-666-0814
ksridsdale@msfl.org

Mobility Impaired Registration

Please complete all sections, any registration questions contact Geri at:

registration@msfl.org﻿

Check out our clothing page

2012 MSFL

Mobility Impaired Registration

registration@msfl.org