2026 Participant Application with Scholarship

Participant Application
Dear Friends of Ski for Light:

Come celebrate the 47th Annual of Black Hills Regional Ski for Light (BHSFL) with old and new friends and continue the years of discovery, growth, and spiritual bonding.

EVENT DATES & INFORMATION: The 47th Annual Black Hills Regional Ski for Light Event will be held at TERRY PEAK & WHARF RESOURCES from January 25-29, 2026, Scheduled events will include four days of cross-country and alpine skiing, snowshoeing, and snowmobile rides for visually impaired and mobility impaired participants. Registration will be Sunday, January 25, 2026, from 2:00 - 5:00 PM, at the Mineral Palace in Deadwood.

EVENT COST: The event cost is $275.00. Your $275.00 includes one banquet ticket (scheduled for Thursday night), five nights lodging based on double occupancy (sharing a room), ski equipment as required, trail fee/lift tickets, transportation between Deadwood and the ski area, all lunches and one evening meal. We offer a meal package option you may purchase for $125.00 which covers meals not provided by BHSFL. We'll accept check or money order made payable to "SFL". If you wish to pay by Visa or Mastercard, you can only do SO by applying online at our website at www.bhsfl.org.

ACCOMMODATIONS: BHSFL has blocked rooms at several hotels, and our headquarters will be at the Mineral Palace. BHSFL will make your reservation when you send in your filled out application along with the application fee.

TRANSPORTATION TO EVENT: For those who need transportation from within South Dakota and Nebraska, there are buses available for a fee.

SD Bus Contact: Virginia Miller (605) 261-8921, ginnyandterry@siouxland.net

NE Bus Contact: Ward Kinney (402) 630-3640, whkinney@gmail.com

ATTENDANTS: Please understand that we are not able to provide individual attendants and/or supervision.

APPLICATION DEADLINE: Applications will be accepted and approved on a first-come, first-served basis! It is essential that we have all the applications as soon as possible.

APPLICATIONS MUST BE RECEIVED BY DECEMBER 15, 2025.

If you need to cancel, please send an email to bhskiforlight@gmail.com so that we can keep track of notifications and refunds; if you don't have email, please call 605-341-3626.

Let's make this a Ski for Light event to remember!

Sincerely,

Your Black Hills Regional Ski for Light Board

Follow us on our website at www.bhsfl.org or on Facebook at Black Hills Regional Ski for Light.

Participant Information
Name*

First NameLast Name
M/F*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age*
Cell/Phone #*
Phone Number with Area Code first
Email Address*
example@example.com
Please check any that apply:

This is a NEW addressThis is my first time attending BHSFLCheck to OP-OUT receiving paper application (Only receive email notification)

PERSON TO CONTACT IN CASE OF AN EMERGENCY:
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell/Phone #*
Phone number Area Code first
Relationship*
Contact's relationship to you

BHSFL CONFIDENTIAL SCHOLARSHIP/FINANCIAL WORKSHEET

Deadline for Financial Worksheet: December 15, 2025
Please complete the financial information requested below. Partial OR Full Scholarships may be requested. All information provided is strictly confidential and will be used only for the purpose of determining the need for financial assistance for attendance and participation of Ski for Light Events.
Monthly Household Income: Amount $
(Including all sources of income, including wages, pensions, child support, ADC, SSI/Disability, etc.)
Monthly Household Expenses: Amount $
(Include all expenses including housing and related expense, transportation, food, clothing, education, insurance, medical expenses, loan/credit cards, etc.)
For Partial Scholarship: Amount Requested
*You are financially able to pay a portion of the Event Fee for attendance and participation at Ski For Light Events?
Are you financially able to cover the cost of the meals not provided by Ski For Light?

YesNo, I need assistance with meals
(For a Full or Partial Scholarship, minimum of 100 or 60 raffles tickets must be sold and money turned in at registration. Raffle tickets will be sent upon acceptance of the
application/scholarship.)
Are you requesting a FULL scholarship?

Yes, I am requesting full scholarshipNo, I am requesting a partial scholarship
Are there any special circumstances that we should be aware of that will assist us in determining the extent of your need for financial assistance? If so, please explain fully:
Electronic Signature
First Name, Middle Initial, Last Name
Today's Date

MonthDayYear

SKI FOR LIGHT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
ARISING OUT OF OR RELATED IN ANYWAY TO THE SKI FOR LIGHT EVENT(S), WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

IN CONSIDERATION of being permitted to participate in the Ski for Light EVENT(S), THE UNDERSIGNED, for himself, his personal representatives, heirs, and next of kin:

1. HEREBY RELEASES, WAIVES, DISCHARGES, AND COVENANTS NOT TO SUE the organizers, volunteers, participants, sanctioning organizations, Wharf Resources (U.S.A), ski resort owners and operators, ski patrol and other rescue personnel, Bob Marshall Camp, equipment manufacturers and/or owners, and owners and lessees of the premises used to conduct the Ski for Light event(s) and any others involved in any way, directly or indirectly, in the Ski for Light event(s,) all of whom are referred to here as "Releasees," FROM ALL LIABILITY OF ANY SORT OR TYPE AND BASED ON ANY THEORY, LEGAL, CONTRACTUAL, EQUITABLE, OR OTHERWISE, TO THE UNDERSIGNED, his personal representatives, assigns, heirs and next of kin FOR ANY AND ALL LOSS, INJURY AND/OR DAMAGE, INCLUDING DEATH

2. HEREBY AGREES TO INDEMNIFY AND HOLD HARMLESS the Releasees and each of them FROM ANY LOSS, LIABILITY, DAMAGE, OR COST they may incur arising out of or related to the SKI FOR LIGHT EVENTS WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

3. HEREBY KNOWINGLY, WILLINGLY, AND VOLUNTARILY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to the SKI FOR LIGHT EVENT(S) whether caused by the NEGLIGENCE OF RELEASEES or otherwise.

4. HEREBY acknowledges that THE ACTIVITIES OF THE SKI FOR LIGHT EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. THE UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES AND/OR ACTIONS OF THE RELEASEES.

5. HEREBY agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the Releasees, INCLUDING NEGLIGENT RESCUE OPERATIONS and is intended to be as broad and inclusive as is permitted by the laws of the State of South Dakota and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

6. HEREBY acknowledges that this Release and Waiver of Liability, in addition to Ski for Light event(s), also applies to any and all injuries, damages, and/or death that may occur as a result of the condition of any of the premises upon which any Ski for Light event(s) is held.
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
I HAVE READ THIS WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT. Please type name as digital signature.*

First NameLast Name
Witness/Legal Guardian digital signature if under age 18

First NameLast Name
Today's Date*

MonthDayYear

Participant Application

Participant Information

DISABILITY INFORMATION

Event & Hotel Information

PERSON TO CONTACT IN CASE OF AN EMERGENCY:

BHSFL CONFIDENTIAL SCHOLARSHIP/FINANCIAL WORKSHEET

SKI FOR LIGHT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

Participant Check-Out and Purchase Form

Payment Methods