School: _____________________________

(place an X where applicable)

Girls Alpine Team:           $30.00         _____ 

Boys Alpine Team:          $30.00         _____

Girls Nordic Team:          $20.00         _____

Boys Nordic Team:         $20.00         _____

Total:                              ________________

Coaches Names:

______________________

______________________

______________________

______________________

Prep League your school participates in:

______________________

Date of Payment: ______________________

E-Mail: pelkins@newhampton.org
Tel: 603-677-3437

*Please send to:   

Paul Elkins

70 Main St.

New Hampton, NH 03256

*All schools that will be participating in the New England Prep School Alpine Championships (school calendar year 2008/2009), must have their dues paid by Dec. 15^th, 2009.

*If payment is by check, please make payable to: ISSCA