Team Registration Form 2019-2020

BOULDER NORDIC JUNIOR RACING TEAM 2020-2021 REGISTRATION FORM

Please register your children from oldest to youngest such that the sibling discount will apply to the youngest. Thank you.
Racer E-mail (Optional)
You will not be able to complete BNJRT registration without your USSA number. If you are going to participate in any races, we recommend registering as a competitor for your specific age group. All races are seeded off of USSA points. U16, U18, and U20 athletes will need a Competitor license to compete in our RMN races. When registering please choose BNJRT as your club affiliation.

Parents: if you plan to ski at Eldora during afternoon/after hour ski practice, you MUST have a USSA number, too. When registering please choose BNJRT as your club affiliation.

Why a USSA number? The team gets insurance through USSA. Eldora requires the team to have insurance for every person skiing at Eldora outside of regular business hours. Thank you.

Please visit www.ussa.org to become a member
Racers Name *

First Name Middle Name Last Name
Sex *
Date of Birth *

Month Day Year
USSA Age Classes as of 12/31 of birth year *
U20 (2001-2002) 18–19; U18 (2003-2004) 16–17; U16 (2005-2006) 14-15; U14 (2007-2008) 12-13; U12 (2009-2010) 10-11; U10 (2011-2012) 8-9; U8 (2013 or later) 7 and younger
U14, U12, U10 and U8 - Please answer Did you participate in a Nordic Rocks program at your school last year?
Nordic Rocks Program

Yes No
Parent 1: *

First Name Last Name
Parent1 Email *
Contact Number Cell: *

Area Code Phone Number
Contact Number Home:

Area Code Phone Number
Address: *

Street Address

Stret Address Line 2

City State / Province

Postal / Zip Code Country
Parent 2: *

First Name Last Name
Parent 2 Email *
Contact Number Cell: *

Area Code Phone Number
Contact Number Home:

Area Code Phone Number
Address: If different from Parent 1

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
In case of emergency...
Emergency Contact: (if parent cannot be reached) *

First Name Last Name
Relationship *
Contact Number Cell *

Area Code Phone Number
Contact Number Home

Area Code Phone Number
Doctor *
Doctor's Phone Number *

Area Code Phone Number
Hospital Preference *
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
If the above persons are not available, is permission given to seek medical help: *

Yes No
Known Medical Problems Precautions/Special Instructions: *
If none - write none
Should be Empty:

BOULDER NORDIC JUNIOR RACING TEAM 2020-2021 REGISTRATION FORM