Skater First Name/Last Name
Skater Birthdate...enter year as 20..
Address, City, State, Zip Code
Best Contact Email if different from above. PLEASE NOTE: Email is the PRIMARY source of contact for program information.
All skaters must have a valid 2020–2021 USFSA Membership.
I am currently a USFSA Member
I would like to enroll in USFSA. This is the first skater to enroll in my family so I agree to pay $65.
I would like to enroll in USFSA. This is the second/third skater to enroll in my family so I agree to pay $27
If you are currently a USFSA Member, please provide your USFSA number.
Parent/Emergency Contact Name
Parent/Emergency Contact Phone
Please select type of membership...
Full Member - $50 annual fee; 8 volunteer hours
Associate Member - $35 annual fee; 5 volunteer hours
If you selected Associate Member, please identify your Home Club
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