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  • Athlete Information

    *Full Name

    *Birthday

    *Member ID (Use your order # from the membership purchase.)

    Note: Member numbers are the order numbers (not subscription number) provided at the time of membership purchase. You can also find your order number by logging into the usaerialmemberships.org website and clicking on My Account > Orders. 

    *Country

    US athletes, enter USA. If you are competing for another country that does not have a federation, or in a discipline that is not offered by your federation, indicate your country here.

    *Doubles or Singles?

    Select "Doubles" if you will be competing with a partner.

    *Doubles Partner's Name

    *Double's Partner's Birthday

    *Doubles Partner's Member ID (Use your order # from the membership purchase.)

    Note: Member numbers are the order numbers (not subscription number) provided at the time of membership purchase. You can also find your order number by logging into the usaerialmemberships.org website and clicking on My Account > Orders. 

    How many coaches?

    Coach Information

    Enter coach contact information (if applicable).

    *Full Name of Coach

    *Coach Email

    *Coach Phone Number

    *Full Name of Coach #2

    *Coach #2 Phone Number

    *Coach #2 Email

    Emergency Contact/Chaperone Information

    *Full Name of Emergency Contact

    *Relationship to Athlete

    All athletes under 18 must have a parent/guardian on file as their emergency contact. 

    *Phone Number

    *Email

    *Full Name of Doubles Athlete's Emergency Contact

    *Phone Number (Doubles Athlete's Emergency Contact)

    *Relationship to Athlete (Doubles Athlete's Emergency Contact)

    All athletes under 18 must have a parent/guardian on file as their emergency contact. 

    *Email (Doubles Athlete's Emergency Contact)

    *Discipline

    Choose your discipline.

    *Division (Sport)

    Choose your division.

    *Division (Artistic)

    Choose your division.

    *Category (Pole Sports Singles)

    Choose your category. 

    Please note that Pre-Novice is only available in the Amateur category.

    *Category (Hoop Sports Singles)

    Choose your category.

    *Category (Aerial Pole Sports Singles)

    Choose your category.

    *Category (Pole Sports Doubles)

    Choose your category.

    *Category (Hoop Sports Doubles)

    Choose your category.

    *Category (Aerial Pole Sports Doubles)

    Choose your category.

    *Category (Artistic Pole Singles)

    Choose your category.

    *Category (Artistic Hoop Singles)

    Choose your category.

    *Category (Artistic Aerial Pole Singles)

    Choose your category.

    *Category (Artistic Pole Doubles)

    Choose your category.

    *Category (Artistic Aerial Hoop Doubles)

    Choose your category.

    *Category (Artistic Aerial Pole Doubles)

    Choose your category.

    *Hoop Diameter

    Please select your preferred hoop diameter.

    *Hoop Height

    Please select your preferred hoop height.

    Height is measured from the floor to the lowest point of the bottom bar. 

    Questions

    *Why do you compete? What motivates you?

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