Membership is limited to 100 spots, assigned in application order. Fill out the form below and hit Submit Application, or email skiclub@mangymoose.com. Registration is confirmed when both the form has been completed and payment has been made.

* Required

1 · Applicant Information

Full Legal Name *

Preferred Name / Nickname

Date of Birth

Mailing Address

City / State / Zip

Email *

Phone *

Occupation

2 · Jackson & The Mountain

Residency Status

Days On The Mountain Per Season

Discipline

3 · Membership & Locker Request

Membership Type *

Every membership includes one locker.

Full Season Only — Names of Individuals Using the Membership (Limit Two Adults and Up to Three Dependents)

Transferable Property Only — Property Address

Transferable Property Only — Property Management Company, Contact Name and Phone Number

Equipment to Store (Pairs of Skis / Boards, Boots) — Max 5 Pairs of Skis and Boots per Membership

4 · Ski Selection

Full Season memberships only — not applicable for Transferable Property memberships. One pair per membership — choose one model and length.

Women’s — Icelantic Maiden 102 (102 mm waist)

Men’s — Icelantic Nomad 106 (106 mm waist)

US Unisex Shoe Size

Would You Like Black Tie to Mount Bindings on Your Mangy Moose Skis?

5 · Referral

Sponsoring Member (If Any)

How Did You Hear About the Club?

6 · Emergency Contact

Name

Relationship

Phone

7 · Agreements

Preferred Payment (processed through Toast, no card fees)