Membership Application 2024/25

Memberships valid July 1 2024-June 30 2025

APPLICATIONS WILL BE ACCEPTED THROUGH MARCH 31, 2025

Acceptance of membership in the Carousel Figure Skating Club subjects the member to all rules and regulations of the club and requires that each member support the club initiatives and activities. Pursuant to the Bylaws, the club reserves the right to refuse or terminate any membership. Applicants maybe asked to provide additional information prior to approval.

Applicant

Skater, Official or Coach

First Name

Last Name

Birth Date

YYYY

USFS NUMBER or LTS NUMBER

Coach Name

US Citizen

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Membership Type

Choose the membership type for the applicant

Parent name if under 18

First Name

Last Name

Parent Birth Date

YYYY

Parent Email

Parent USFS NUMBER

Parent Citizenship

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Please review ALL Agreements and Waivers attached below and answer yes or no to the statements.

I have read, understand and agree to CFSC WAIVER AND RELEASE 2024-25 (Required for membership)

I have read, understand and agree to the USFS Code of ethics.

I have read, understand and agree to USFS Skaters Code of Conduct

I have read, understand and agree to Parent Code of Conduct (For parents only)

I have read, understand and agree to CFSC General Media Release

By adding my full name and agreeing to the above statements (where applicable) on this web form, I have read and/or downloaded the USFS Code of Conduct, Parent Code of Conduct, Waiver & Release of Liability and Media Release in their entirety.

Please note, it is very important that both you and your skater fully understand the attached documents

Date

YYYY

I certify, that the information on the Carousel FSC (CFSC) Membership Application, and USFS Registration is TRUE and CORRECT. I understand, this information will be entered into the member’s USFS record and CFSC records. I understand all appropriate waivers must be agreed to and completed during the application process. By typing my name and date below will serve as my signature for application and agreement to appropriate waivers.

MUST BE 18 YRS OF AGE. SIGNATURE OF PARENT FOR MINOR APPLICANTS

Date

YYYY

**COLLEGIATE MEMBERS ONLY, What 4 year college/university are you attending?

Membership questions please email membership@carouselsherwoodfsc.org