2023 NASJA Western Winter Summit

Pease complete the form below to register

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Known Roommate (if known)

We will attempt to pair you up but roomies are on a first-come basis and if we do not have a roommate for you at the end, you will have to opt for single (Moral: register early)

Will you have a vehicle in Reno?*

Yes
No

Will you have room to share a ride or car pool with others?

Yes
No

How many people can you accommodate?

Do you need rental equipment?*

Yes
No

Skier/Rider Ability Level

LEVEL 5. ADVANCED.
LEVEL 4. INTERMEDIATE. Able to ski parallel turns with pole plant.
LEVEL 3. COMFORTABLE NOVICE. Can link strong snowplow turns or wide stance parallel.
LEVEL 2. NOVICE. Learning to turn in control on gentle slopes.
LEVEL 1. FIRST TIME SKIER/RIDER

Skis or snowboard?

Skis
Snowboard

What length skis are do you need?

Ski boots?

I need ski boots
I am bringing my own ski boots

What size ski boots do you need?

I am bringing my own ski boots. My boot size for binding adjustment is (prefer sole length if possible)

Do you need ski poles?

Yes
No

Ski pole length?

Do you need Snowboard rental equipment?

Yes

Do you need Snowboard Boots?

No
Yes

Snowboard Boot Size?

Do you need a snowboard?

Yes

Snowboard length

Do you need Snowboard boots?

Yes

Snowboard boot size?

Any special Requests?

How will you be paying?

Credit Card
Mailing in a check

Choose one:*

Double Occupancy $275.00
Single Occupancy $425.00

Total

$0.00

Credit Card

Card Details

Cardholder Name

You have opted to pay $249.00 by mailing in a check to the NASJA Treasurer. Send your payment to:
NASJA
c/o Peter Pandoli, NASJA Treasurer
5855 Midnight Pass Road
Apt 733
Sarasota FL 34242

PLEASE NOTE:

DEADLINES & CANCELLATION POLICY NASJA ACTIVE MEMBERS — Saturday, Dec. 15 — Registration form with full payment received; e-mailed registrations cannot be confirmed. Cancellations received by Dec. 15 will be refunded in full. Cancellations received between 12/16 and 12/27 will incur a $25 penalty, and there are no refunds after 12/27.

2023 Western Winter Summit

PLEASE NOTE: