Required fields are marked with asterisks (*)

Snowshoe Loan Program Request Form

How many pairs of snowshoes would you like to borrow?
 

What size(s) of snowshoes do you prefer?

See sizing chart below to assist you with choosing the correct snowshoes. These are not strict ranges. 

Snowshoe size is not dependant on boot size. Be sure to wear winter boots that provide warmth and stability for a safer and enjoyable experience.

We will do our best to accommodate the numbers you list here, and will confirm actual quantities available once we have received your request.

Bodyweight (lbs.) + 10lbs.             
for boots and clothing
Size 
110-160 lbs.  25”
140-180 lbs.  27”  
160-210+ lbs.  30”
25" Snowshoes - select quantity
 
27" Snowshoes - select quantity
 
30" Snowshoes - select quantity
 

Please only use snowshoes for walking on powder or packed snow, as they can become damaged or break if used elsewhere. Avoid walking across logs, rocks, etc. 

Deposit and Acknowledgement
 
Sign-Off
 

Collection of Personal Information

Personal information collected on this form is collected under the Municipal Act, S.O.2001, c.25, and will be used for the purpose of program registration, payment, aggregate statistical reporting and allocation of staff resources. Questions of this collection should be address to the Town of Ajax Records and Freedom of Information Coordinator at 65 Harwood Avenue South, Ajax, Ontario, L1S 2H9.

Learn more about the Town of Ajax’s Privacy policy

 

https://www.ajax.ca/en/inside-townhall/privacy-policy.aspx

Accessibility

If you require this form in an alternative format, please contact the Town of Ajax Accessibility Coordinator, at 905-683-4550, or by e-mail at contactus@ajax.ca.