HFSA Membership Registration Form

HFSA Club Membership Registration

Complete the form below to sign up for our membership service.
Applicant Name*

First NameLast Name
Primary E-mail*
Phone Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Applicant Birth Date*

MonthDayYear
Applicant USFSA number if applicable
Previous skating club applicant belongs or belonged to
Parent Name

First NameLast Name
Parent E-mail (If different)
example@example.com
Parent Phone Number (if different)

Area CodePhone Number
Parent Birth Date

MonthDayYear
Basic Skills level passed
Skating Skills level passed
Singles level passed
Dance level passed
Preferred way to contact

PhoneEmailAny
Coaches Name
Coaches Phone
Please enter a valid phone number.
Coaches USFS #
Coaches Email
Membership Rules
I agree to abide by the Constitution. Bylaws and the Rules and Regulations of Hamden Figures Skating Association (HFSA) that are now in effect (a Copy of the HFSA By Laws is available upon request). Also, it is fully understood and agreed upon that HFSA assumes no responsibility or liability for injuries or loss of property. Which might occur during HFSA activities. In consideration of the acceptance of this application, the undersigned herby waives damages to property arising out of such activities, and skaters assume their own risk. New applicants must be approved by the membership director and/or the Executive board to receive membership status.
I have read, understood, and accepted the rules for membership.
Signature*

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How would you like to Pay?*

CheckCredit Card
Full Member: $85.00

2nd Member same family: $50.00

Associate Membership: $10.00

Skaters whose home club is NOT HFSA and they are a member of CT Ice Fusion

** Not eligible for skater assistance program

Collegiate Membership: $120.00 (good for 4 years)

Mail Payment to:

HFSA

30 West Dayton Hill Road

Wallingford, CT 064492
My Products (Please choose only 1)
prevnext( X )
Home Club IndividualFull USFS membership for those with tests ** Not eligible for skater assistance program
$85.00 Quantity



Home Club Second membershipFull USFS membership when someone else already has a full membership living at the same address
$50.00 Quantity



Associate MembershipSkaters whose home club is NOT HFSA and they are a member of CT Ice Fusion ** Not eligible for skater assistance program
$10.00 Quantity



Collegiate MemberFull USFS membership for a college student. Good for 4 years.
$120.00 Quantity



Total

$0.00
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
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HFSA Club Membership Registration

Membership Rules