ATHLETE First Name Last Name Please Select Female Male Non-Binary DOB Wheelchair Seizures Registered with the State Medical with State Dated 03/2023 or later GREATER NEEDS (A.M.) BUNNY HILL - GLIDE GREATER NEEDS (A.M.) BUNNY HILL - WALK GREATER NEEDS (A.M.) BUNNY HILL - BEG ALPINE GREATER NEEDS (A.M.) BUNNY HILL - BEG SNOWBOARD ALPINE (A.M.) - GIANT SLALOM SNOWBOARD (A.M.) - BUNNY HILL CROSS COUNTRY (A.M.) - 100M 1/2 LAP SNOWSHOE (P.M.) - 50M p>
First Name Last Name Please Select Coach Volunteer Peer *
First Name Last Name Please Select Coach Volunteer Peer
Participant First Name Last Name Emergency Contact Name* Area Code* Phone Number* Relation Coach Parent Guardian *
Participant First Name Last Name Emergency Contact Name Area Code Phone Number Relation Coach Parent Guardian