Snowsports Festival Accomodation Registration

Participant Details

First Name

Last Name

Birthdate

Gender

Region

Please choose the option that best describes your mobility

Disability/Impairment

Disability/Impairment (Other)

Mobile Phone

Do you have any allergies or additional medical conditions we should know about?

How did you hear about the Halberg Foundation?

Equipment Information

Do you have your own equipment?

YesNo

What equipment do you need?

Are you a member of Snowsports New Zealand?

YesNo

Dietary Requirements

Dietary Requirements

Dietary Requirements (Other)

Accommodation Accessibility

Please choose the option that best describes your mobility within an accommodation facility for this event:

What type of aide do you use?

What type of chair do you use?

Are you comfortable climbing a flight of stairs to access accommodation?

Do you need an accessible bathroom?

What items do you need in a bathroom?

Shower Chair

Do you need to share a room with your supporter/parent?

YesNo

Who are you sharing with?

Emergency Contact Information

Name

Mobile Phone

OwnerId

Event Id

Sub Id

Rand Number

Unique ID