Blue Ridge Adaptive Snow Sportsdisabled skier

Sign up for a Lesson

Student’s Name:
Gender:
 Male   Female
Age:
   Height:   Weight:**   Shoe Size:
Lesson Type:
Lesson Day:
 Saturday   Sunday
Lesson Date:
  NOTE: Lesson requests must be made at least 48 hours before lesson time.
Lesson Time: 
New Student OR Returning Student:
 New Student   Returning Student

  Have you submitted the Student Information and Waiver form this season?
Yes   No
Student's Address:
City:
State:
   ZIP:
Emergency Contact:
Relationship to Student:
Phone Day:
   Phone Night:
Email Address:

What are the student’s special interests?

All students are required to complete a Student Information and Waiver form each season prior to their lesson. We strongly recommend students contact their physician before a skiing or snowboarding lesson.

** Due to mono- and bi-ski manufacturer limitations, maximum weight for sit-down skiing is 180 pounds.