REGISTRATION FORM 

Name___________________________________________

Address__________________________________________

City, State, Zip Code:________________________________

Telephone Number (h)_______________(w)________________

E-mail___________________________________________

Preferred Media _____Large Print, _____E-mail

I am a guide_____ visually impaired participant_____ mobility impaired 
participant ________

I wish to attend the event/s at 

_____Craftsbury Common, VT, January 4-7, 2002
_____Weston Ski Track, Weston, MA, February 10, 2002
_____Gorham, NH, March 2-4, 2002

Enclosed is my payment/deposit for 

_____Craftsbury Outdoor Center, $170
_____Weston Sk Track, $10
_____Great Glen Trails, $25, balance due $90 by 1/15/2002

Check preferences. We will try to accommodate as many as possible. 
_____Ski _____Snowshoe ____Both

I give my permission to NERSFL to use any photographs, which may 
include my image on the web page or in future public relations, brochures or 
news releases.

Initials_____