Store - Mt LaCrosse

Group Registration

UWL Night on the Slopes Registration

Please fill out the following information, select the products/options you want, and click Continue to add the items to your cart and sign the forms/waivers associated with each product.

Participant First Name:

Participant Last Name:

Participant Birthdate:

YourParent/Guardian Cell Phone #:

YourParent/Guardian Email Address:

Your (Parent/Guardian) First Name:

Your (Parent/Guardian) Last Name:

Emergency Contact Name:

Emergency Contact Phone #:

Student ID Number:

UWL Email Address:

Do you need transportation to Mt. La Crosse?:

Items:

Select Item(s)	Price	Extended
Lift Ticket Only - I Have My Own Equipment	$20.00	$0.00
Lift Ticket and Ski Rental Package	$30.00	$0.00
Lift Ticket and Snowboard Rental Package	$30.00	$0.00

Group Ski Lesson Ages 10 & Up	$0.00	$0.00


Group Snowboard Lesson Ages 10 & Up	$0.00	$0.00


Subtotal:		$

Note: Sales tax (if applicable) and any modifiers will be displayed in the cart.