National Sports Center for the Disabled - outdoor recreation opportunities for individuals with disabilities

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What: First time ski lessons for individuals with spinal cord injuries or other physical disabilities, visual impairments, autism and other disabilities.

Who: Program is for individuals or groups that are new to the NSCD-KC skiing program; limited to one lesson per person.

When: Dec. 19, 20, 22, 23, 29, 30, Jan. 5, 6, 7, 9, 10

Location: Snow Creek Ski Area, Weston, MO

Cost: $25 for a 2 hour session*.
*Includes all equipment, instruction, & lift ticket
Scholarships available based on financial need; limited number available.

Please click here to download a blank registration form (PDF)

Snow Creek Skiing 101 Registration Form
Indicate Requested Lesson Date:	*
Lesson Time:	* required
Participant First Name:	*
Participant Last Name:	*
Parent/Guardian Name:	*
Address:	*
City:	*
State:	*
Zip Code:	*
Phone:	*
Email Address:	*
Age:	*
Date of Birth:	*
Sex:	Male Female *
Payment by credit card or check made out to NSCD.
*Please charge my Credit Card:
*Card #
*Expiration Date:	Month: Year:
*Name as it appears on card:
Emergency Contact:	*
Emergency Contact Phone:	*

If paying by check, please make check payable to NSCD and mail to: NSCD-KC 4600 E. 63rd St. Kansas City, MO 64130
Photo Release

I grant permission for Participant's picture to be used in publicity or brochures related to this event.
Agree:	Yes No *
Participant Name:	*
Parent/Guardian Signature:	*
Date:	*
By checking this box, this will act as your digital signature.	I agree

P.O. Box 1290, Winter Park, Colorado 80482 USA ph: 970.726.1540 or 303.316.1540 fx: 970.726.4112
Denver Office: 1801 Bryant St, Ste 1500, Denver, CO 80204 ph: 303.293.5711 fx: 303.293.5448 Email: info@nscd.org
KC Office: 4600 E. 63rd St, Kansas City, MO 64130 ph: 816.513.7571 Email: infokc@nscd.org

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