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Snow Creek 3 Week Ski Session Lesson

Date:
Session 1: Tues. evenings, 5:30-8:30, Jan. 19, 26, Feb 2
Session 2: Wed. evenings, 5:30-8:30, Jan 20, 27, Feb 3
Session 3: Thurs. evenings, 5:30-8:30, Jan. 21, 28, Feb 4
Session 4: Sat. mornings, 9:30-12:30, Jan. 23, 30, Feb 6
Session 5: Sun. mornings, 9:30-12:30, Jan. 24, 31, Feb 7
Session 6: Tues. evenings, 5:30-8:30, Feb. 9, 16, 23
Session 7: Wed. evenings, 5:30-8:30, Feb 10, 17, 24
Session 8: Thurs. evenings, 5:30-8:30, Feb. 11, 18, 25
Session 9: Sat. mornings, 9:30-12:30, Feb 20, 27, March 6
Session 10: Sun. mornings, 9:30-12:30, Feb 21, 28, March 7

Location: Snow Creek Ski Area, Weston, MO

Description: Ski lessons for individuals with spinal cord injuries or other physical disabilities, visual impairments, autism and other disabilities.

Cost: Registration is $140 per session*.
NSCD-KC Member $125 per session
*Includes all equipment, instruction, & lift ticket
Scholarships are available based on financial need.

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

Session: * 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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