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ADULT SEASONAL PROGRAMS

Please provide the requested information below for each participant. Fields marked with an *asterisk are required.

*Please choose the program:

Ladies Only
Mountain Men
Adult Co-Ed Groups
Major Moguls
Adult Snowboard

Participant Profile

*Participant's First Name

*Last Name

*Street Address

*City

*State
     *Zip Code
     

*Home Phone

Local Phone

*Participant's E-mail

*Gender
M   F

*Height *Weight

*Participant's Date of Birth
Month / Day / Year

Major Goal for the Season


Medical Release

I, (*Participant) give permission to Hunter Mountain Ski Patrol or any other medical personnel to treat me in the event of a medical emergency or illness. I understand that every attempt will be made to reach my Emergency Contact as soon as possible.

*I agree to the terms of the above Medical Release


Medical Information

Is there any medical information we should know about the participant? Enter "none" if there are none known.

*Allergies

*Medications

*Physical


Emergency Contact Information

*Emergency Contact Name

Telephones:

*Home

Local

Work

Cell


THANK YOU FOR SHOPPING @ HUNTER MOUNTAIN!


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