Ski Tots Registration Manual Payment Form

Child's Name*
First Last
Age of Participant*
Parent's Name*
First Last
Email*
Phone Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Rentals*
- Include Equipment Rental for child only
- Include Equipment for both parent and child
- No Rental
Registration with NO rental
Price:
Registration with ONE rental
Price:
Registration with TWO rentals
Price:

Credit Card*

Cardholder Name

Card Details