Adaptive Skiing

Adaptive Skiing Program

The objectives of this scholarship are to:

Increase awareness of adaptive sports opportunities available for individuals with DMD
Provide an opportunity for individuals with DMD to participate in adaptive sports in a safe and supportive environment
Create opportunities for families of individuals with DMD to engage in outdoor sports together

Winter Scholarship Ski Program includes:

Two nights of lodging at Loon Mountain
Up to two days of adaptive skiing at New England Disabled Sports, including equipment and tickets
One day lift tickets for up to four members of the family
$250 gift certificate for food expenses

If you are interested in skiing with us this season, please fill out the form below for the 2019-2020 Winter Ski Season.
*Please list your weekend preference in the notes section at the end.

Ski Program Application

* Indicates required field

Contact Name *

First

Last

Contact Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

# of adaptive skiiers *

# of additional family members interested in skiing *

scholarship athlete wants to ski *

1 day 2 days

Total # of guests *

Please fill in the following information for the adaptive skier(s). Please note that height, weight and age are a requirement of NEDS, the company that provides the ski services.

Name(s) *

Weight(s) *

Height(s) *

Age(s) *

Do you need a fully accessible room? *

Yes No

Have you skiied with us before? *

Yes No

Please list (in order of preference) which weekend you are available to ski. *Options are listed on the right hand side of the page* We will do our best to accomodate. Please leave any additional comments/questions: *

Submit

2019 - 2020 Ski Weekends
We are excited to announce that we will be able to host 24 families this ski season! Please let us know your dates of preference. Looking forward to seeing you in the snow!

December 21st & 22nd
January 4th & 5th
January 11th & 12th
January 25th & 26th
February 1st & 2nd
February 8th & 9th
February 29th & March 1st
March 7th & 8th

ski

Adaptive Skiing Program

Ski Program Application

JB's Keys to DMD, Inc.