MSSC Ladder Meet Registration Form
January 2, 2022 - See Full Meet details at the bottom of this form
Skater Name
*
First Name
Last Name
Skater Date of Birth
*
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Month
-
Day
Year
Date
Calculated Skater Age
Email
*
Confirmation & EFT instructions will be sent to this address
Emergency contact Phone Number
Please enter a valid phone number.
Seed Time Track Size
*
Please Select
400m
500m
10 & under should use 400m time and 11+ use 500m
Seed Time in MINUTES.SECONDS:HUNDRETHS
*
For example: 1.43:09 is One Minute, Forty-Nine Seconds and 9 hundreths
Speed Skating Club Name
Helmet Cover Number (if you have one)
if you do not have a helmet over, please enter 0 (zero)
Submit
Paid
Please Select
Yes
No
Checked In
Please Select
Yes
No
July 1
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Month
-
Day
Year
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