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 - 1997, 1998, 1999U18 - 2000, 2001U16 - 2002, 2003U14 - 2004, 2005U12 - 2006, 2007U10 - 2008 and youngerEmail 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 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Liability*Elk Ski Club Insurance Acknowledgement of Liability CommentsThis field is for validation purposes and should be left unchanged.
