Pineridge Cross Country Ski Area

Registration Form

Event or Program Date (for events)

Contact Information

Name Address

City, State Zip

Email Phone Mobile

Please list all participants

Name Age Cost $

Name Age Cost $

Name Age Cost $

Name Age Cost $

Name Age Cost $

Name Age Cost $

Total Cost $

Check all applicable:
3 Km 5 Km
Running Walking
Skiing Snowshoeing
Ski or snowshoe rentals needed? (payable day of event)