Ski Trip 2022

*Ski Day registration is now closed. Please reach out to your youth minister and ask about availability before proceeding. Thank you. *

 

BOLD Ski Day 2022 Registration

 

Date: Saturday, February 5, 2022
Time: TBD. Approximate times 7am-9pm
Location: Blue Mountain, Palmerton, PA
Who: All high school teens are welcome!
Cost: $140 for ski lift ticket, transportation, dinner, and BOLD giveaway
*3-hour tubing pass available.  Contact Karen if interested.

Deadline: February 1.  
*Registration fee is non-refundable due to mountain policy*

 For questions, please contact Karen Theckston at ktheckston@fiatventures.com.

Payment Option:


Participant Information

*First Name
*Last Name
*Address
Apartment If Applicable
*City
*State
*Zip Code
*Email
*Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)
*Gender
*Birthdate (mm/dd/yyyy)
*Grade

Parent Information

First Name
Last Name
Email
Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)

Health Information

Health Insurance Company
Health Insurance Policy Number
*Known Health Issues
*Allergies and any medication you will be taking during the event

Emergency Contact Information

*First and Last Name
*Relationship
*Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)

Additional Information

Skiing, Boarding or Other?
Parish:

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P.O Box 4292, Warren, NJ 07059

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