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Request an Adaptive Private Lesson

ADAPTIVE PRIVATE SKI/SNOWBOARD LESSON REQUEST

Thank you for your interest in adaptive private lessons with the Brian Head Ski & Snowboard School. Please fill out the form below.

Reservations are recommended at least 5 days in advance. Requests made within 5 days may not be able to be fulfilled. Please note that this is only an adaptive private lesson request. The lesson is not booked until payment is received. PLEASE NOTE: We will return your request in the order it was received, but please expect up to 1 week before you receive a response.

Contact Information

First name
Last name
I prefer to be contacted by:(Required)
First Name
Last Name
Address(Required)

Student(s) Information

Preferred Date for Lesson(Required)
Open Daily: November 10, 2023 – April 14, 2024
Group Ability Level(Required)
If multiple students are in the lesson select the lowest level. The lesson will be taught on the terrain and the pace of the lowest-level student.
Preferred Choice of Lesson (2.5 hours each)(Required)
Lesson Type(Required)
Level of Mobility(Required)
Please list any problems with muscle tone, range of motion, or strength.
Please list any additional health problems such as diabetes, cardiovascular problems, respiratory problems, etc.
What are your goals for the lesson.
Please enter a number from 1 to 10.
Do you need a guide ticket?(Required)
Guide tickets are for a guide or someone trained to assist the participant. Example: participant is physically unable to load the chair lifts themselves and needs a companion to help.
List birthdates of each guest in attendance(Required)
First Name
Last Name
Birthdate
 
Please provide the first and last name (if you can remember!) of your desired instructor. We cannot guarantee this instructor will be available for the timeslot you are inquiring about.

Medical Information

MM slash DD slash YYYY
Ability to sense cold:(Required)
Comprehension:(Required)
Hearing Level:(Required)
Vision Level:(Required)
Verbal Communication(Required)

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