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

Applications for the 2021-2022 Season close November 1st, 2021.

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

ski

Adaptive Skiing Program

Ski Program Application

JB's Keys to DMD, Inc.