Visually Impaired Registration - MSFL 2017
Please fill out all required fields completely. If your version of the JAWS speech program is older than version 15.0, you may have problems with this form. Feel free to call Geri at 248-417-9668 if you have any issues completing the form and she will help you with registration.
Last Name
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First Name
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Email
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Phone
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Address Line 1
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Address Line 2
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City
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State/Province
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Zip/Postal Code
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Country
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Room Type
Meal Type
Saturday Meal Choice
Cross Country Ski Rental
Shoe Size
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Height
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Weight
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Transportation
Experience Level
Special Needs & Comments
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Medical Information
List of all prescriptions, dosages, and frequencies
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Michigan Ski for Light Zero Tolerance Rule (please provide electronic signature in box below)
Underage Drinking: The consumption or possession of alcohol by individuals under age 21 is legally prohibited. Anyone found in violation will be banned from the event immediately without refund of payment.  Illegal Drugs: The use or possession of illegal drugs by individuals is strictly prohibited. Anyone found in violation will be banned from the event immediately without refund of payment. 
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Waiver of Liability
Review the 2017 Waiver of Liability on the MSFL website registration page
Total Payment due (Enter Below)
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