PNSA 2018 Junior Nationals Letter of Intent
Every cross country ski racer who hopes to qualify for the 2018 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 name and spelling as you used on your USSA membership.
Your answer
Racer's Last Name *
Your answer
Racer's Date of Birth *
Be sure to enter the year you were born, and not 2017!
MM
/
DD
/
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, but you can do that later.
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.
Ski Club or Team *
Your answer
Racer's High School Name *
Please use the proper name of your high school.
Your answer
Racer's High School City *
Your answer
Racer's Year of High School 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
Emergency Contact
You can write "Mother" or "Father". If you prefer someone else, please write name, relationship to you, and cell phone number.
Your answer
Do you have any additional requests, suggestions, or questions?
Your answer
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