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Sign up for a Lesson! • Winter Programs • Summer Recreation • Competition
AbilityCAMP • Soccer AbilityLEAGUE • NSCD-Kansas City
Winter Forms

• Payment Sheet
• Participant Info Sheet
• Liability Release
• Family & Guest
Info Sheet
• Policies/Procedures

Summer Forms

• Payment Sheet
• Participant Info Sheet
 • Liability Release
• Horseback Riding Release
 • Physician Release
for Horseback Riding
 • Family & Guest
Info Sheet
 • Medical Administration Form
 • First Aid Permission Form
 • Policies/Procedures

Skier holding a bar with 2 NSCD staff people for balance
Sign up for a Lesson!

Please complete the following reservation request and a NSCD reservationist will contact you in 2 - 3 days to confirm the dates that
were requested.

Date: * Your Name: * required
How did you hear about the NSCD? Returning Participant
(Last year
participating):
Participant
Name: 		* Age: *
Address: *
City: *  
State: * zip: *
Home Phone:   * Work Phone: *
Email: * Cell Phone:
Contact Name: *  
Contact Home Phone: * Contact Work Phone: *
Contact Cell: Contact Email: *
Disability: *
Weight: * Wheelchair: *

No
Yes

Emergency Contact Name: * Emergency Contact Phone: *
Individual and Group Lessons
Activity Day/Date 1/2 or
full day		 If 1/2 Day:
am/pm 		Add'l #s/
Family		 Cost
Specialty Programs
Program Session Day/Date Cost
$195.00
$195.00
$195.00
$195.00
$195.00
$195.00
Winter Camps
Camp Session Day/Date Cost
$285.00
N/A
 $225.00
N/A
 $250.00
N/A
 $225.00
Special Notes/Instructions:

 
P.O. Box 1290, Winter Park, Colorado 80482 USA ph: 970.726.1540 or 303.316.1540 fx: 970.726.4112
Denver Office: 1801 Bryant St, Ste 1500, Denver, CO 80204 ph: 303.293.5711 fx: 303.293.5448 Email: info@nscd.org

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