Kivi Park Seniors Program February Registration Form

Please register once for all the dates you would like to attend.

Please note that the equipment rental is first come, first serve with registration. If by chance we DO NOT have enough equipment for you, we will contact you prior to the event. Otherwise, if you registered and have entered all the information required, there will be equipment reserved for you.

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* 1. First and Last name.

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* 2. Email address.

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* 3. Are you currently a Kivi Park Passholder?

Yes

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* 4. Phone number.

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* 5. Friday, February 10th(Only M8.5 + or W9.5 + Ski Rental Available) (No Small or Medium Fat Bike available, 5'10" + only)

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* 6. Tuesday, February 14th

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* 7. Friday, February 17th (No Small Fat Bikes Available, 5'7"+ only)

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* 8. Tuesday, February 21st

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* 9. Friday, February 24th ( No Small Fat Bike Available, 5'7" + only)

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* 10. Tuesday, February 28th

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* 11. Do you require rentals?

Urban Poling Poles

Skis, Boot and Poles

Snowshoe

Fat Bike

No Equipment Needed

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* 12. If you require ski or fat bike rental, please enter your height and shoe size.

Height

Shoe Size

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* 13. Do you require transportation?

Yes

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* 14. If you require transportation, where would you require pick up from?

South End Walmart

YMCA Downtown

I do not require transportation