Athlete Change & Late Entry Form - Intermountain Youth Championships, February 26 & 27
Form to be utilized for any change to registration data after it's been submitted, and before all deadlines as  recorded on the event invitation. Email Matt Galyardt (galyardt@gmail.com) with any questions.
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Athlete data change or Late Entry for new Athlete (after 9pm MST Feb. 21st and before 6pm MST Feb. 24th only) *
REQUEST SUBMITTED FOR: Athlete First and Last Name *
Gender - Please type in your request to add/change: Gender
Birth Date - Please type in your request to add/change: Birth Date (mm/dd/yyyy)
MM
/
DD
/
YYYY
USSA Number - Please type in your request to add/change: USSA Number
Class - Please type in your request to add/change: Class
Racing Up? - Enter yes or no to add/change: Racing up?
Club - Please type in your request to add/change: Club
Division - Please type in your request to add/change: Division
Please check the race(s) to SCRATCH an athlete:
Please enter the reason you are scratching the athlete:
Please check the race(s) to ADD the athlete:
Request submitted by: First and Last Name *
Request submitted by: Relationship to Athlete *
Request submitted by: Email Address *
Request submitted by: Cell Phone *
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