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US National Team Application 2023
Please Fill in all fields with your best possible answers.
Applications DUE 1/18/2023
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* Indicates required question
Email
*
Your email
Full Name (First Last)
*
Your answer
Address (Street, City, State, Zip, Country):
*
Your answer
Temporary Address (if applicable; include dates):
Your answer
Phone (cell):
*
Your answer
Phone (other: home, work, etc.):
Your answer
Club(s) (If not US, please include city & country):
*
Your answer
Attackpoint log name:
Your answer
IOF Number:
*
(
https://eventor.orienteering.org/Register
for those who don't have one)
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
US Passport Expiration Date:
If you do not have a current US Passport, leave blank; If you have an expired US Passport, please put expiration date.
MM
/
DD
/
YYYY
Emergency Contact
Full Name (First Last):
*
Your answer
Phone (cell):
*
Your answer
Phone (other):
Your answer
For Publicity
Hometown (City/State or City/Country):
*
Your answer
Hometown newspaper(s):
*
Your answer
Current local newspaper (if different):
Your answer
College newspaper (if applicable):
Your answer
Occupation
*
Your answer
Team Photo Upload
If you have
not
been on the National Team before, please upload a current passport-type or action photo (face visible) of yourself using this
Photo Uploader
.
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