Visually Impaired Registration Form | Michigan Ski for Light

First Name *

Last Name *

Email *

Phone Number *

Address *

Address Line 2

City *

State *

Postal Code *

Age *

Gender *

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 before?

Yes

No

Are you bringing a working or a service dog?

Yes

No

All dogs must be up to date on their rabies and DHLPP vaccines. Handlers must bring their dog's current health record or proof of vaccination dates available from their dog's veterinarian

Room Type *

RAM Center Standard Double Room with RAM Meals - $180

RAM Center Standard Single Room with RAM Meals - $210

No Room, Include RAM Meals - $68

No Room, No Meals - $25

Meal Type *

Standard

Vegetarian

Gluten Free

Cross Country Ski Rental *

Includes skis, boots and poles for the entire weekend. These will be delivered to the event on Friday evening.

Ski Rental Required - Add $50

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, else enter "none."

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 2023 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

$25

$50

Do you plan to pay online? We will look for your payment if you indicate yes.

Yes, I plan to pay online

No, I will send in 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

reCAPTCHA