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 Jan Feb Mar April May June July Aug Sept Oct Nov Dec / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 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
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
*Last Name
*Street Address
*City
*Home Phone
*Participant's E-mail
*Gender M F
*Participant's Date of Birth Month Jan Feb Mar April May June July Aug Sept Oct Nov Dec / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 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
*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
