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2020 Mid-Atlantic Junior National Team
2020 Mid-Atlantic Junior National Team Trip Info
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Athlete First Name
*
Your answer
Athlete Last Name
*
Your answer
Athlete Date Of Birth
*
MM
/
DD
/
YYYY
Racing Division
U16 Male
U16 Femaile
U18 Female
U18 Male
U20 Female
U20 Male
Athlete Cell Phone Number
Your answer
Athlete E-mail
Your answer
Athlete USSA Membership Number
*
Your answer
Athlete NYSSRA NORDIC Membership
https://www.skireg.com/nyssra-nordic-membership-18
*must be a member of NYSSRA Nordic if not Join !
Yes
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Athlete Affiliation to be used on results I.E Club or High School
Your answer
Athlete USSA Club
Your answer
Athlete High School
Your answer
Athlete Town of Residence
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Postal Code
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Athlete State of Residence
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Athlete Arrival Date
MM
/
DD
/
YYYY
Athlete arrival time and flight number
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Athlete departure date
MM
/
DD
/
YYYY
Athlete departure time and flight number
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Traveling with Parent or Coach
Yes
No
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Athlete T-Shirt Size ( Men's Sizing )
XS
S
M
L
XL
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Athlete Allergies if NO leave blank
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Athlete Dietary Restrictions if NO leave blank
Your answer
Athlete Medical Condition if NO Leave Blank
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Insurance Carrier
Your answer
Insurance Policy #
Your answer
Parents or Guardian Name
Your answer
Father Cell Phone
Your answer
Mother Cell Phone
Your answer
Father E-mail
Your answer
Mother E-mail
Your answer
Emergency Contact
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Emergency Contact Cell
Your answer
Parents attending races in Truckee ?
Yes
No
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