2019 Adaptive Ski Scholarship Application
Please complete the adaptive ski scholarship application only if you are able to:

1.) Provide your own transportation to and from the ski resort and to the lesson
2.) Cover the cost of your meals
3.) Secure and cover the cost of your lodging (if applicable)

*Can Do MS will provide scholarships for free adaptive ski lessons and ski rentals to the person living with MS. If support partners would like to ski, they will need to cover their own lift ticket and rentals.

Participant Information
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Cell phone number preferred.
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Weight *
Needed for placement with adaptive instructor.
Your answer
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