Parents Name__________________________________

Address________________________________

City____________________________________

State___________________Zip_____________

Telephone________________DOB__________

Email__________________________________

Please check training level:

JI & JII | JIV | JIII | JV

Amount Enclosed: $____________________

(Note : Race Programs and seasons pass must be purchased at same time for your racer. Please make checks payable to Ski West Mountain Education Foundation and send to the address listed below.