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BLIZZARD of
MICHIGAN
2007 / 2008 SIGN-UP FORM
Acrobat PDF membership form:
JOIN BLIZZARDS
$185.00 ea. MINI
- SKI membership
(age 6-8) Held on Saturdays
$150.00 ea. YOUTH
- SKI membership
(age
8-12) Held on Saturdays (all day supervision)
$110.00 ea TEEN - SKI / SNOWBOARD membership (age
9-17) Held on Saturdays
$75.00 ea. ADULT Half
membership (age 18+) any 3 adult lessons
$120.00 ea. ADULT
Unlimited membership (age18+) any adult lessons
You may print this page and mail to:
Blizzard Ski School
P.O. Box 631
Bloomfield Hills, MI. 48303
Name
DOB
Level Program
#1
#2
#3
#4
#5
#6
#7
$
Enter Authorized Total *
Guardian
*
Address
*
City
*
MI, Zip
*
Phone
*
E-mail
*
Because of the nature of skiing, I understand that Blizzard Ski School cannot be held liable for any accidents or injuries I or my child may sustain. However, I authorize Blizzard staff to secure any emergency medical treatment myself or child may need.
Additionally I accept all responsibility for transportation. Blizzard is not
responsible for any lost or stolen personal items.
Authorizing
Name
(I
have read and understand the risks)*
Insurance Co
Policy #
Group #
Emergency Phone #
Visa
Master Card
C'Card #
-
-
- *
CS #
(on back of card) *
Exp Date
/
(month / year) *
Notes / Special instructions
* = Required Fields
To contact us:
Phone:
248-677-9705 Fax: 248-588-2960
Email: webmaster@skikids.net
Blizzard Ski & Snowboard School
P.O. Box 631
Bloomfield Hills, MI. 48303
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