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ADAPTIVE SKI ASSOCIATION OF WEST MICHIGAN

"If I can do this, I can do anything!"

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Athlete Waitlist

ASAWM 2024/2025 Athlete capacity is full.
Please use the Athlete Waitlist form to be contacted for any additional openings.

Athlete Waitlist

Athlete Information

First name*

Last name*

Athlete Date of Birth*

Athlete Height*

Athlete Weight in pounds*

175 pound weight limit

Athlete Phone Number*

Athlete Email*

Athlete Address*

Parent/Guardian Name*

Parent/Guardian Phone Number*

Parent/Guardian Email*

Parent/Guardian Address*

Emergency Contact Name*

Emergency Contact Phone*

Experience

Prior experience as an athlete with our program?

Yes

No

Please indicate your past adaptive ski experience

Bi-Ski

Mono-Ski

Stand Up

Ski Slider

Snowboard

None

Disability

Please describe the athlete's disability for equipment and matching purposes.

Please describe any medical precautions

Describe behavioral issues, if any, that volunteers should be aware of.

Does the athlete need bathroom assistance?

Yes

No

Program Preference

First Preference

Tuesday 6-8p

Wednesday 6-8p

Thursday 6-8p

Sunday 1-3p

Sunday 2-4p

Sunday 3-5p

Second Preference

Tuesday 6-8p

Wednesday 6-8p

Thursday 6-8p

Sunday 1-3p

Sunday 2-4p

Sunday 3-5p

Third Preference

Tuesday 6-8p

Wednesday 6-8p

Thursday 6-8p

Sunday 1-3p

Sunday 2-4p

Sunday 3-5p

Preferred Volunteer(s) for Lessons

If the athlete is a stand up skier, are rental skis needed?

N/A (sit skier)

Yes

No

Stay in touch with us

Email Us

info@asa-wm.org

Mail Us

P.O. Box 352 Ada, MI 49301

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