Adaptive Water Ski Clinics

Please fill out all the information on the form below to complete your registration for one or both of the adaptive water ski clinics hosted by the Pomona Lake Ski Club. Prior to completing the registration form, please review the participant requirements located on the Pomona Lake Ski Club website.

In order to provide an extended time on the lake skiing, at each adaptive clinic participants should choose a morning (9AM-Noon) or afternoon (1:00-4:00 PM) session to ski. Morning participants should plan on staying after their session and afternoon session participants should plan on arriving early as lunch will be provided from noon to 1:00PM. Adaptive participants are also welcome to be at the lake all day and enjoy other activities. Additional ski time can be accommodated if time permits.

Once registration is complete, you will receive an email confirming your registration and additional information on the adaptive clinic(s) you registered for.

Lunch will be provided free of cost for each participant and one guest. Each additional lunch can be purchased for a cost of $8.

Event Date/Time*

9:00 AM - 12:00 PM, June 3, Crown Lake1:00 PM - 4:00 PM, June 3, Crown Lake9:00 AM - 12:00 PM, August 13, Pomona Lake1:00 PM - 4:00 PM, August 13, Pomona Lake

Name*

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Age*

Name of parent/guardian if under 18

Gender*

Disability*

Total number of guests

Lunch will be provided free of cost for each participant and one guest. Each additional lunch can be purchased for a cost of $8.

Number guests eating lunch

Lunch will be provided free of cost for each participant and one guest. Each additional lunch can be purchased for a cost of $8.

Emergency Contact*

First NameLast Name

Emergency Contact Phone*

Please enter a valid phone number.

Pomona Ski Club