2020 Mid-Atlantic Junior National Team
2020 Mid-Atlantic Junior National Team Trip Info
Athlete First Name *
Athlete Last Name *
Athlete Date Of Birth *
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Racing Division
Athlete Cell Phone Number
Athlete E-mail
Athlete USSA Membership Number *
Athlete NYSSRA NORDIC Membership https://www.skireg.com/nyssra-nordic-membership-18 *must be a member of NYSSRA Nordic if not Join !
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Athlete Affiliation to be used on results I.E Club or High School
Athlete USSA Club
Athlete High School
Athlete Town of Residence
Postal Code
Athlete State of Residence
Athlete Arrival Date
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Athlete arrival time and flight number
Athlete departure date
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Athlete departure time and flight number
Traveling with Parent or Coach
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Athlete T-Shirt Size ( Men's Sizing )
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Athlete Allergies if NO leave blank
Athlete Dietary Restrictions if NO leave blank
Athlete Medical Condition if NO Leave Blank
Insurance Carrier
Insurance Policy #
Parents or Guardian Name
Father Cell Phone
Mother Cell Phone
Father E-mail
Mother E-mail
Emergency Contact
Emergency Contact Cell
Parents attending races in Truckee ?
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