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Member Information

First Name:
Last Name:

Birthdate:
USFSA ID#:

Type of Membership
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Coach Information
Select Your Coach (if listed):  

Skating Skill Levels
Learn to Skate-Basic Skills:
USFSA-MIF:

USFSA-Freestyle:
USFSA-Dance:

Login / Contact Information
Primary Email:
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Secondary Email:

Password:
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Business Phone:
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Address Information
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Additional Information
What resources might your company/employer provide? (i.e. Copying or printing, materials for scenery, donating goods or services, etc)
What are your or your family members' special talents? (i.e. Sewing, creative with crafts or ideas, painting/artwork, computer savvy, web design, organizational skills, handyman, etc.)
Volunteer Activities  
Member Agreement
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I have read, understand, and agree to all the above information.