Adaptive Intake Form

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Please fill out the Adaptive Intake Form below.  Once you have completed this questionnaire, you will receive a call or email from a sales representative to reserve your lessons.  This form only needs to be completed and submitted once, unless a change is the status of the individual has occurred.

Please correct the field(s) marked in red below:

The below questions and answers are a means to gather information about the person(s) taking the lesson in order to better accommodate them once they arrive!
1

Participants Information:

 *
Participants Information:
2

Parent/Guardian Information: 

 *
Parent/Guardian Information:
3

Physician Information:

 *
Physician Information:

4
Are you skiing or snowboarding?
 *
5
Do you need rentals?
 *
6
Fill this section out only if you are renting equipment:
Fill this section out only if you are renting equipment:

Due to manufacturers limitations, maximum weight for adults mono and bi skis is 175lbs and 80lbs on bi-unique skis.