Adult Race League Registration Form
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1
2ADULT RACE LEAGUE REGISTRATION FORM 2016
Team Name_______________________ Contact Person_______________________________________
Phone Number__________________________ Email___________________________________________
PLEASE LIST ALL TEAM MEMBERS BELOW
MUST BE AT LEAST 21 YEARS OLD TO PARTICIPATE
Racer Name ___________________________________________ Age _________ D.O.B.___________
Nastar Registration # _________________
Ski ____ SB ____ Telemark ____
Male ____
Female ____
Address ________________________________________________ City ___________ State ____ Zip____________
Phone ___________________________________________ E-Mail __________________________________________
Emergency Contact____________________________________ Phone____________________________________
Medical/Physical Needs __________________________________________________________________________
Racer Name ___________________________________________ Age _________ D.O.B.___________
Nastar Registration # _________________
Ski ____ SB ____ Telemark ____
Male ____
Female ____
Address ________________________________________________ City ___________ State ____ Zip____________
Phone ___________________________________________ E-Mail __________________________________________
Emergency Contact____________________________________ Phone____________________________________
Medical/Physical Needs __________________________________________________________________________
Racer Name ___________________________________________ Age _________ D.O.B.___________
Nastar Registration # _________________
Ski ____ SB ____ Telemark ____
Male ____
Female ____
Address ________________________________________________ City ___________ State ____ Zip____________
Phone ___________________________________________ E-Mail __________________________________________
Emergency Contact____________________________________ Phone____________________________________
Medical/Physical Needs __________________________________________________________________________
Racer Name ___________________________________________ Age _________ D.O.B.___________
Nastar Registration # _________________
Ski ____ SB ____ Telemark ____
Male ____
Female ____
Address ________________________________________________ City ___________ State ____ Zip____________
Phone ___________________________________________ E-Mail __________________________________________
Emergency Contact____________________________________ Phone____________________________________
Medical/Physical Needs __________________________________________________________________________
Racer Name ___________________________________________ Age _________ D.O.B.___________
Nastar Registration # _________________
Ski ____ SB ____ Telemark ____
Male ____
Female ____
Address ________________________________________________ City ___________ State ____ Zip____________
Phone ___________________________________________ E-Mail __________________________________________
Emergency Contact____________________________________ Phone____________________________________
Medical/Physical Needs __________________________________________________________________________
Racer Name ___________________________________________ Age _________ D.O.B.___________
Nastar Registration # _________________
Ski ____ SB ____ Telemark ____
Male ____
Female ____
Address ________________________________________________ City ___________ State ____ Zip____________
Phone ___________________________________________ E-Mail __________________________________________
Emergency Contact____________________________________ Phone____________________________________
Medical/Physical Needs __________________________________________________________________________
Racer Name ___________________________________________ Age _________ D.O.B.___________
Nastar Registration # _________________
Ski ____ SB ____ Telemark ____
Male ____
Female ____
Address ________________________________________________ City ___________ State ____ Zip____________
Phone ___________________________________________ E-Mail __________________________________________
Emergency Contact____________________________________ Phone____________________________________
Medical/Physical Needs __________________________________________________________________________
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