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* 1. First Name

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* 2. Last Name

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* 3. Date of Birth

Date

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* 4. Age

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* 5. Sex

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* 6. What is your height in feet and inches? For example, if you are 5 feet and 4 inches, write 5’4”.

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* 7. What is your current weight in pounds?

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* 8. Shoe Size

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* 9. Skier Type (1 = Cautious, 2 = Moderate, 3 = Aggressive)

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* 10. Skier or Boarder?

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* 11. Are you also taking a lesson?

T