School: _____________________________

(place an X where applicable)

Girls Alpine Team:           $60.00         _____ 

Boys Alpine Team:          $60.00         _____

Total:                              ________________

Coaches Names:

______________________

______________________

______________________

______________________

Prep League your school participates in:

______________________

Date of Payment: ______________________

E-Mail: feldman@belmonthill.org

*Please send to:   

Steve Feldman

Belmont Hill School

350 Prospect St.

Belmont, MA 02478

*All schools that will be participating in the New England Prep School Alpine Championships (school calendar year 2019/2020), must have their dues paid by Dec. 15^th, 2019.

*If payment is by check, please make payable to:
NEPSAC Alpine Skiing