New England Regional Ski for Light P.O. Box 2170 West Brattleboro, VT 05303 781-667-9270 Winter Event Application Name ________________________________________ Phone(H) ____________ Phone(W) ___________ Address_____________________________________ ______________________________________ e-mail _______________ I am a vision impaired participant_____mobility impaired participant ______ guide_____ [*Ski Guides must be experienced x-country skiers in order to guide at these events! ] I need transportation to the event/s ________ (yes or no) I wish to attend the following event/s _______ Craftsbury Nordic Center, Craftsbury Common, Vermont *Space is limited. Folks will be accepted on a first come/first serve basis as we balance the number of skiers and guides. Insure your spot by responding ASAP. _______ Bretton Woods Mountain Resort, New Hampshire Enclosed is my payment/deposit for: _____ Craftsbury Nordic Center $175 _____ Bretton Woods Mountain Resort deposit $25 Balance due $ 105 by January 10, 2003 #Don’t forget your contributions to the week-end raffle! the more the merrier!! We are a tax exempt non profit organization. We always appreciate donations if you wish to include one with your application.