Membership InformationPrice* Social Membership - $25 Family with 1 Racer - $100 Family with 2 Racers - $125 Family with 3 or more Racers - $150 Parent's InformationName First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact InformationHome PhoneCell Phone*Please enter phone number in the following format (XXX) XXX-XXXXAbility to receive text messages* Yes No Email Address (Parent)* Email Address (Parent 2 - optional) RACER INFORMATIONPlease complete fully for all Racers being registered.Name First Last Gender Male Female Birth Year U19 - 2004, 2005 U16 - 2006, 2007 U14 - 2008, 2009 U12 - 2010, 2011 U10 - 2012, 2013, and younger T-Shirt Size Youth Small Youth Medium Youth Large Youth XL Adult Small Adult Medium Adult Large Adult XL Adult XXL Email USSA Membership Number Please include the letter "E" at the beginning of your numberRacer #2Name First Last Gender Male Female Birth Year U19 - 2004, 2005 U16 - 2006, 2007 U14 - 2008, 2009 U12 - 2010, 2011 U10 - 2012, 2013, and younger T-Shirt Size Youth Small Youth Medium Youth Large Youth XL Adult Small Adult Medium Adult Large Adult XL Adult XXL Email USSA Membership Number Please include the letter "E" at the beginning of your numberRacer #3Name First Last Gender Male Female Birth Year U19 - 2004, 2005 U16 - 2006, 2007 U14 - 2008, 2009 U12 - 2010, 2011 U10 - 2012, 2013, and younger T-Shirt Size Youth Small Youth Medium Youth Large Youth XL Adult Small Adult Medium Adult Large Adult XL Adult XXL Email USSA Membership Number Please include the letter "E" at the beginning of your numberRacer #4 (if applicable)Name First Last Gender Male Female Birth Year U19 - 2004, 2005 U16 - 2006, 2007 U14 - 2008, 2009 U12 - 2010, 2011 U10 - 2012, 2013, and younger T-Shirt Size Youth Small Youth Medium Youth Large Youth XL Adult Small Adult Medium Adult Large Adult XL Adult XXL Email USSA Membership Number Please include the letter "E" at the beginning of your numberLiability WaiverLiability*Elk Ski Club Liability Waiver Acknowledgement of Liability Payment - Please go to the next page to submit payment informationHiddenPayment Method Credit Card Total $0.00 NameThis field is for validation purposes and should be left unchanged.
