Name: Mohawk Mountain Ski Area
Item: Mohawk Mountain Ski Area
Rating: 4.5

Snowsports Discovery Center

Participant's Name*

First Last

Participant's Program*

Who is authorized to pick up participant? (can list multiple people)*

If no authorized person is present who do we call?*

Contact Number:*

Last 4 digits of authorized person's Driving License?*

Printed Name of Parent or Legal Guardian*

Emergency Contact Phone Number*

Signature of Parent or Legal Guardian*

Date*