New England Regional Ski for Light        
P.O. Box  2170    
West Brattleboro, VT 05303       
781-667-9270   

Winter Event Application

Name________________________________________ Phone(H)____________

 Address_____________________________________             (W)___________

             ______________________________________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 January 6-9  *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.

 ______Royalty Inn and Great Glen, Gorham, New Hampshire  February 24-26

 Enclosed is my payment/deposit for:
_____Craftsbury Nordic Center $210
____Royalty Inn and Great Glenn    deposit  $25 

Balance due $ 105   by January 9, 2006

#Don't forget your contributions to the Craftsbury weekend auction/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.