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Password*:
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Confirm Password*:
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Your Sponser:
Personal Information
First Name*:
Middle Name:
Last Name*:
Email*:
Alternate Email:
Phone*:
Cell:
Work Phone:
Fax:
Street*:
City*:
State*:
Zip*:
Country*:
Company:
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Additional Information
Are you affiliated in any way with a business dealing in sports or recreation?*
Yes
No
If yes to the above, what business?
Gender*:
Male
Female
Age*:
0-9
10-18
19-29
30-39
40-49
50-59
60+
Birthday*:
January
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March
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June
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31
Names of family members in the Club:
Club Involvement
I would be interested to volunteer in some capacity with the club*:
Yes
No
I would be interested in volunteering on one or more of the following Velocity Sports committees:
Events
Membership
Web
Communications
Volunteer
Public Relations
Promotions
Sponsorship
Benefits
I am interested in adding my email to the following Velocity Sports Community email groups:
Members
Friends of Velocity Sports
Resort Season Pass Holder
Vendor Promotions
Comments:
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