Adaptive Skiing - JB's Keys to DMD

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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
Two days of adaptive skiing at New England Disabled Sports, including equipment and tickets
One day lift tickets for members of the family
$250 gift certificate for food expenses

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 *

Required to reserve ski tickets. If ski tickets are not needed, please enter 0.

Total # of guests *

required for hotel reservations. If lodging is not required, please enter 0.

Have you skiied with us before? *

Yes No

Do you need a fully accessible room? *

Yes No

Please select the dates you are available. *

December 14 - 16, 2018 December 21 - 23, 2018 January 4 - 6, 2019 January 11 - 13, 2019 January 25 - 27, 2019 February 1 - 3, 2019 February 8 - 10, 2019 March 1 - 3, 2019 March 22 - 24, 2019

Please select at least 3 dates. We will do our best to accommodate your needs based on requests and the order received.

Additional comments/questions: *

Submit

JB's Keys to DMD, Inc.

Phone: 781-269-1175

P.O. Box 446
Dover, MA 02030

EIN 27-1060320

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