Mobility Impaired Registration - MSFL 2017
Please fill out all required fields completely.
First Name *
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Last 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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