Midwest Adaptive Sports
Snow Sports Participant Registration Form
2024-2025 Season
Name
Email
Parent/Legal Guardian Name
Cell Phone Number
Home Phone Number
Work Phone Number
Address
Date of Birth
MM
/
DD
/
YYYY
Age
Gender
Female
Male
Disabilities
Other
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Midwest Adaptive Sports
Snow Sports Participant Registration Form
2024-2025 Season
There are single visit sessions available.
REGISTRATION IS REQUIRED.
3-hour sessions. Includes lift ticket, equipment and instruction.
Single Visit..................................................................................$95
Sign up for at least one session:
Single Visit - List 1st, 2nd, 3rd Choice of Date & Time (subject to availability)
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Midwest Adaptive Sports
Snow Sports Participant Registration Form
2024-2025 Season
Payment Options
Credit Card or Check (payable to Midwest Adaptive Sports)
Pay in Person
Credit Card
Cash/Check
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Midwest Adaptive Sports
Snow Sports Participant Registration Form
2024-2025 Season
Registration limited and subject to availability
Scholarships available upon request
Reschedule due to participant conflict subject to availability
Refund issued only in the case of MAS cancellation
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Midwest Adaptive Sports
Snow Sports Participant Registration Form
2024-2025 Season
Please mail check payment to:
Midwest Adaptive Sports
1800 Genessee St. Ste. 301, Kansas City, MO, 64102
Please click the Register button and thank you for your registration.
Register
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