Mobility Impaired Registration Form Mobility Impaired Registration Form First Name * Last Name * Email * Phone Number * Address * Address Line 2 City * State * ALAKARAZCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Postal Code * Age * Gender * MaleFemale Is this the first time you are attending MSFL? * Yes No How did you find out about MSFL? * Have you ever gone cross-country skiing or used a sit-ski before? * Yes No Are you bringing a working or a service dog? * Yes No All dogs must be up to date on their rabies vaccine. Please do not bring dogs that are sick. Room Type * RAM Center Standard Double Room with RAM Meals - $185 RAM Center Standard Single Room with RAM Meals - $210 No Room, Include RAM Meals - $95 No Room, No Meals - $25 (For mandatory Insurance & Membership) Meal Type * Standard Vegetarian Gluten Free Saturday Evening Dinner Preference * Parmesan Crusted Chicken Seasoned Baked Whitefish Cross Country Ski Rental *Includes skis, boots and poles for the entire weekend. These will be delivered to the event on Friday evening. Please submit requests for ski equipment rental by December 30, 2023. You will need to arrange for your own equipment rental after that date. Ski Rental Required - Add $55 None required Shoe Size * Height * Weight * Transportation *All transportation provided will be from a common pick-up and drop-off location Own Transportation Transportation needed - Add $20 Experience Level * Beginner Intermediate Advanced Special Needs or Comments Medical Information List all prescriptions, dosages, and frequencies Emergency Contact Name * Emergency Contact Phone Number * Michigan Ski for Light Zero Tolerance Rules: 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. * I understand and agree to comply with the Michigan Ski for Light Zero Tolerance Rules Liability Waiver * I agree to the terms and conditions of the MSFL 2024 Waiver of Liability Additional Donation - Every dollar that comes in to MSFL is used wisely and helps ensure MSFL's continued success. If you'd like to help, please select the amount that you'd like to donate below and it will be added to your total. $10.00 $25.00 $50.00 Do you plan to pay online? Please remember your total payment due and go to the "Online Payment Options" after submitting your registration. We will look for your payment if you indicate yes. * Yes, I plan to pay online No, I will send a check to the treasurer Total Payment Due is shown below. If not paying online, please send your check to: MSFL Treasurer, 3408 Northlands Ave., Jackson, MI 49201 Captcha If you are human, leave this field blank. Submit Δ