Membership InformationPrice*Social MembershipFamily with 1 RacerFamily with 2 RacersFamily with 3 or more RacersParent'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*YesNoEmail Address (Parent)* Email Address (Parent 2 - optional) RACER INFORMATIONPlease include a separate information section for all Racers being registered.Name First Last GenderMaleFemaleBirth YearU21 - 2000, 1999U19 - 2001, 2002U16 - 2004, 2003U14 - 2005, 2006U12 - 2007, 2008U10 - 2008 and youngerT-Shirt SizeYouth SmallYouth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult LargeAdult XLAdult XXLEmail USSA Membership NumberPlease include the letter "E" at the beginning of your number Add Racer InformationRemove Racer InformationPaymentTotal $0.00 Payment MethodCredit CardPayPalCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Liability*Elk Ski Club Insurance Acknowledgement of Liability NameThis field is for validation purposes and should be left unchanged.
