2024 USARS TRACK AND ROAD CHAMPIONSHIPS AND TEAM USA TRIALS-REGISTRATION FORM

2024 USARS TRACK AND ROAD CHAMPIONSHIPS AND TEAM USA TRIALS-REGISTRATION FORM
Please click here more for event information and the Team USA Selection criteria

Deadline to enter will be 5/24/24

Late applications will incur a $25 late fee
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
DATE OF BIRTH*

MonthDayYear
Date
GENDER*
USARS MEMBER ID NUMBER*
CURRENT USARS CLUB*
TRACK CHAMPIONSHIPS

Primary Division – 7 and underJuvenile Division – 8-10 years of ageFreshman Division – 11-13 years of ageJunior Division– 14-18 years of ageJunior World Class – 14-18 years of age- Must be US citizenSenior Division- 14 years or olderSenior World Class – 14 years or older- Must be US citizenMasters Division- 25-34 years of ageMasters Division- 35-44 years of ageMasters Division- 45-54 years of ageMasters Division- 55 years of age and up
ROAD CHAMPIONSHIPS

Primary Division – 7 and underJuvenile Division – 8-10 years of ageFreshman Division – 11-13 years of ageJunior Division– 14-18 years of ageJunior World Class – 14-18 years of age- Must be US citizenSenior Division- 14 years or olderSenior World Class – 14 years or older- Must be US citizenMasters Division- 25-34 years of ageMasters Division- 35-44 years of ageMasters Division- 45-54 years of ageMasters Division- 55 years of age and up

My Products

Junior and Senior World Class Banked Track

$95.00

Junior and Senior World Class Road

$95.00

Primary, Juvenile, Freshman, Junior, Senior, Masters Track

$80.00

Primary, Juvenile, Freshman, Junior, Senior, Masters Road

$80.00

Total

$0.00

IMPORTANT: By submitting this application, I am acknowledging I am a member in good standing and eligible to participate in the championships. A member in good standing has completed Safe Sport training (18+), is in good financial standing with USA Roller Sports and willing to complete a background check (18+). I understand that if I am selected as a Team USA Member for the World Speed Championships, I must participate in all training which may include a residency program and other prescribed activities. I also agree to meet all departure times, dates and flights as arranged by the USARS National Office, the Team Coach and/or Team Manager. I further understand as a member of the USA World Team, I will be responsible for timely deposits, payments, and documentation to the USARS National Office. Failure to adhere to the specified deadlines may jeopardize my ability to participate as a member of Team USA
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