RACE TEAM "2008"

Name:______________________________Age:_________

DOB_______________

Address:___________________________________________________________

__________________________________________________________________

City:________________________________State________Zip: _______________

Phone: (_____) __________________Emergency:  ( _____) __________________

Parents Signature:   __________________________________________________

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Print out this form, complete it and send it in with your payment to:
The Ski Chalet • 1041 Youngstown Road • Niles, OH  44446

Give Us A Call at: 330-652-7913