NYS Masters Alpine Ski Race Registration Form 2009

www.nymasters.org

Last Name:

First Name:

Address:

Telephone #: 

E-mail Address (where schedule change notifications will be sent):

USSA #:

Did you renew for 2008-09?    Yes               No 

Age Class:

Gender:

Date of Birth:

Races (put a D after all races you will definitely attend and put an M after all races you may attend):

Mail in your completed form to:

Nancy Fella, Race Administrator

59 Astor Drive

Rochester NY 14610

or email to:

fellanj@aol.com