New England Regional Ski for Light 
P.O. Box  861
Georgetown, MA  01833

www.nersfl.org


Summer 2006 Event Application
 

Name__________________________________Phone(H)_______________

Address________________________________         (W)_______________

      _________________________________           (C)_______________


E-mail _______________________________________

I am a guide_____visually impaired participant______

I need transportation to the event/s________(yes or no)

I can offer a ride to # _____ passengers ___to and ____from the event.

I wish to attend the following event/s.  Enclosed is my payment for:

___  Craftsbury Outdoor Center, August 25-28th for $230.00

        (Please register by July 15th.)

___ Bradley Palmer State Park, October 7th for $ 10.00

       (Please register by September 15th )

Detach and mail with payment to NERSFL, P.O.Box 861, Georgetown, MA 01833
Donations

We are a tax exempt not for profit 501c3 organization.  Any donations to NERSFL are greatly appreciated and are tax exempt.


We look forward to seeing you at one or both events!