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First Name
Last Name
Middle Initial
E-mail
Address
City
State
Zip Code
Phone Number
Local Accomodations
Skier/Rider 1
Name
Weight
lbs.
Height
ft.
in.
Shoe Size
Age
Downhill Skier Type
I (Beginner)
II (Intermediate)
III (Expert)
Snowboard Stance
Regular
Goofy
Snowboard Binding Type
Soft Strap
Clicker System
Package
-----Select One-----
Traditional Package
Recreational Shaped Package
Sports Package
Performance Package
Demo Package
Ski Blades
Snowboard Package
Children's Package
Children's Shaped Package
Cross-country Package
Skier/Rider 2
Name
Weight
lbs.
Height
ft.
in.
Shoe Size
Age
Downhill Skier Type
I (Beginner)
II (Intermediate)
III (Expert)
Snowboard Stance
Regular
Goofy
Snowboard Binding Type
Soft Strap
Clicker System
Package
-----Select One-----
Traditional Package
Recreational Shaped Package
Sports Package
Performance Package
Demo Package
Ski Blades
Snowboard Package
Children's Package
Children's Shaped Package
Cross-country Package
Skier/Rider 3
Name
Weight
lbs.
Height
ft.
in.
Shoe Size
Age
Downhill Skier Type
I (Beginner)
II (Intermediate)
III (Expert)
Snowboard Stance
Regular
Goofy
Snowboard Binding Type
Soft Strap
Clicker System
Package
-----Select One-----
Traditional Package
Recreational Shaped Package
Sports Package
Performance Package
Demo Package
Ski Blades
Snowboard Package
Children's Package
Children's Shaped Package
Cross-country Package
Skier/Rider 4
Name
Weight
lbs.
Height
ft.
in.
Shoe Size
Age
Downhill Skier Type
I (Beginner)
II (Intermediate)
III (Expert)
Snowboard Stance
Regular
Goofy
Snowboard Binding Type
Soft Strap
Clicker System
Package
-----Select One-----
Traditional Package
Recreational Shaped Package
Sports Package
Performance Package
Demo Package
Ski Blades
Snowboard Package
Children's Package
Children's Shaped Package
Cross-country Package
Day Out
(Ex. 01/01/05)
Day Back
(Ex. 01/05/05)
Additional Comments
14 Fawn Court, P.O. Box 616 | Silverthorne, CO 80498 | (970) 468-5970 or Toll Free: 866-468-5970
FAX your requests or reservations to (970) 468-5957; e-mail:
wildernest75@hotmail.com
