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Skater's Information - Team Millennium
*Please submit one registration form per skater.
Section 1: Required Fields have a red
*
*
Indicates required field
Skater's Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Skater's Phone # OPTIONAL
*
Skater's Email OPTIONAL
*
Select One
*
Skater has a current US Basic Skills #
Skater has a current US Figure Skating #
Skater is not current
I don't know
Please provide # if you have one
*
Skater's Date of Birth
*
Please list any other siblings.
*
Section 2: Required Fields have a red *
Select One
*
Mom
Dad
Grandparent
Gaurdian
Other
Name
*
First
Last
[object Object]
Email
*
Select One
*
Cell
Home
Work
Other
Phone Number
*
Additional Phone Number OPTIONAL
*
Cell
Home
Work
Additional Phone Number - OPTIONAL
*
Section 3 (OPTIONAL FOR ADDTIONAL INFORMATION)
Select One
*
Mom
Dad
Grandparent
Gaurdian
Other
Name
*
First
Last
Email
*
Select One
*
Cell
Home
Work
Other
Phone Number
*
Additional Phone Number
*
Cell
Home
Work
Other
Additional Phone Number OPTIONAL
*
Section 4 Required Fields have a red
*
Choose One
*
Team Millennium Advanced
Team Millennium
Team Millennium Tiny Talent
Any additional Information you'd like me to know.
*
CLICK HERE TO SUBMIT SKATER'S INFORMATION
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