USARS Speed Skating National Team/Developmental Clinic Registration Form
May 8- May 11: Weber's Skateway, Milton, FL
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Email
*
example@example.com
DOB
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Age
*
T-Shirt Size
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YOUTH M
YOUTH L
SM
MD
LG
XL
XXL
USARS Membership ID Number
*
Current USARS Club
*
Level of experience
*
Beginner
Intermediate
Advanced
National Team
World Team
Have you attended a USARS Outdoor Clinic before? If yes, when?
*
Have you qualified to skate the track portion of outdoornationals? If yes, when?
*
My Products
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MAY SPEED CLINIC- NON NATIONAL TEAM MEMBER
$
125.00
Quantity
1
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10
MAY SPEED CLINIC- NATIONAL TEAM MEMBER
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
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