U12, U14, & U16-19 Registration

Racer Name *

First

Last

US Ski & Snowboard Number *

Year of Birth *

Gender *

Male
Female

Select Program *

Select Program Deposit Only $500 *

Second Racer Name

First

Last

Second Racer US Ski & Snowboard Number

Second Racer Year of Birth

Second Racer Gender

Male
Female

Select Program Second Racer *

Select Program Second Racer Deposit only $500 *

Third Racer Name

First

Last

Third Racer US Ski & Snowboard Number

Third Racer Year of Birth

Third Racer Gender

Male
Female

Select Program Third Racer *

Select Program Third Racer Deposit only $500 *

Deposit is only valid for U12-U16 programs and is non-refundable.

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Parent 1 Name *

First

Last

Parent 2 Name

First

Last

Parent 1 Phone Number *

Parent 2 Phone Number

Parent 1 Email *

Parent 2 Email

Other Email

Emergency Contact Name *

Emergency Contact Phone Number *

I consent for TAS to use my info for a team roster to be shared among TAS members *

Yes
No

Total

$ 0.00

Coupon

Stripe Credit Card *

U12, U14, & U16-19 Program Registration Open!

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