Midwest Freeriders

Registration Form

** The cost for the season is $275.00 made payable to Midwest Freeriders **

This payment can be mailed to:
Midwest Freeriders
5540 Wintergreen Dr
Asbury, IA 52002

Parent/Guardian Information (if under 18)

Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian E-Mail


Child's First Name
Child's Last Name
Riding Style Snowboard
Skiing
Address
City
State
Zip
Phone
Email
Birth Date

Rider Goals

Please list your three top goals for the 2022-2023 ski and snowboard season. Please be specific and detailed, this information will better help us get you to achieve your goals throughout the season.

No matter what the goal is, or difficulty, we will work with you to accomplish.

Goal 1:


Goal 2:


Goal 3:


By clicking the SUBMIT button below, I hereby agree to and accept the conditions put forth in the consent and/or disclaimer above: