MSA Spring Alpine Camp Registration
March 27th-29th @ Mount Snow Academy
Checks payable to: Mount Snow Academy, Payment by CC 4% convenience fee applies
Send payment to: Spring Alpine Camp, PO Box 616, West Dover, VT 05356 ATTN: Danielle
Includes Lifts, Coaching/Training, lodging and Meals
Coaches: Peter Benyik & MSA Alpine Coaching Staff
Name of Athlete
USSA Class and number
Date of Birth
Cell Phone (Athlete)
Email Address of Parent(s)
Name of Parent 1
Parent 1 cell phone
Name of Parent 2
Parent 2 cell phone
Health Insurance Information (provider & policy number)
Allergies or dietary restrictions?
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