Slippery Rock Area Parks & Recreation

320 North Main Street Slippery Rock, PA 16057 Monday – Friday 8:00am-3:30pm

Please use the form below to register and pay for the Peak n’ Peak ski trip.

Participants Name(Required)

First Last

Participants Age(Required)

Participants Phone(Required)

Participants Email(Required)

Enter Email Confirm Email

Address(Required)

This address must match the address of the credit card being used for payment.

Street Address Address Line 2 City State ZIP Code

Parents Name(Required)

First Last

Parent Phone(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Program Costs

Lift Ticket and Transportation

Ski Rentals

Snowboard Rental

Choose A Date(Required)

January 27, 2024

February 10, 2024

February 17, 2024

February 24, 2024

Pickup Location(Required)

Fee

Processing Fee

Price: $0.00

Coupon

Total

Credit Card

Card Details

Cardholder Name

This field is for validation purposes and should be left unchanged.

Slippery Rock Area Parks and Recreation