PNSA XC JN Letter of Intent 2017
Every cross country ski racer who hopes to qualify for the 2017 PNSA team to the Junior National Championships should fill out this form as early as possible. This will help PNSA plan and communicate with you. There is no cost. Please be complete and accurate. Thank you!
Racer's First Name
Please use the same form as you used on your USSA membership.
Your answer
Racer's Last Name
Your answer
Racer's Date of Birth
Be sure the year is the year you were born. (Not 2016!)
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/
DD
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YYYY
Racer's USSA Number
Leave blank if you do not have a USSA membership. You will need a USSA membership number to enter Junior Nationals Qualifier races.
Your answer
Racer's Phone Number
Cell phone number if you have one; otherwise home phone. Be sure to include area code.
Your answer
Racer's Email Address
Your own personal email; if you don't have your own email enter your family's email address.
Your answer
Racer's Mailing Address: Number and Street
Your answer
Racer's Mailing Address: City
Your answer
Racer's Mailing Address: State
Your answer
Racer's Mailing Address: Zip Code
Your answer
Racer's PNSA Jacket Size
Please select one ONLY if you will need to buy a jacket. If you already have a team jacket you do not need to buy another.
Racer's High School: School Name
Your answer
Racer's High School: City
Your answer
Racer's High School: Year of Graduation
Your answer
Racer's Health: List any Issues
Asthma, allergies, trick knees, etc.
Your answer
Racer's Diet: List any Restrictions
Vegetarian, etc.
Your answer
Mother's First Name
Your answer
Mother's Last Name
Your answer
Mother's Email Address
Your answer
Mother's Cell Phone
Your answer
Father's First Name
Your answer
Father's Last Name
Your answer
Father's Email Address
Your answer
Father's Cell Phone
Your answer
Do you have any additional requests, suggestions, or questions?
Your answer
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