2025/2026 High Plains Nordic Registration
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Member's First Name *
Member's Last Name *
Member's Email (no school emails please) *
Member's Phone Number *
Member's Mailing Address *
Date of Birth *
MM
/
DD
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YYYY
Gender *
USSS Age Class: select birth year *
Ski Team or Club *
USSA License # (Competitor U16 and Older is required in order to be eligible to qualify for the HP JN Team) *
Parent/ Guardian's Name (Emergency Contact) *
Parent/ Guardian's Email (Emergency Contact) This email will also be used for billing through QuickBooks *
Parent/ Guardian's Phone (Emergency Contact) *
Please list any food sensitivities or allergies (optional)
Coat Size  *
T Shirt Size  *

Please certify you (the member) have read and will abide by the High Plains Code of Conduct
 *
High Plains Waiver

Please certify you (the member) have read and understand the High Plains Waiver


 *

Please certify the legal guardian has read and understands the High Plains Waiver.  *
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