Skating Club of Phoenix Membership

Complete the form below to become a Skating Club of Phoenix member and pay with your Credit Card

Problems with this page? Please contact Kerry Lowenstien, webmaster@skatingclubofphoenix.com

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Membership Application New Member Renewing Member USFSA #
Will Skating Club of Phoenix be your Home Club Yes No

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Skater's Information

First & Last Name
DOB mm/dd/yyyy		Gender Male Female
Street Address (include apt#)
City	State Zip
Home Phone ###-###-#### Mobile Phone ###-###-####
Email Address
Parent/Guardian if under 18
Primary Rink Primary Coach

Additional Family Members (must reside in the same household) PARENTS – Please list one parent/guardian in the first block below if your child is under 18 years of age. A parent/guardian is automatically given membership with his/her child to represent said child’s interests in the club.
Name Gender Male Female DOB mm/dd/yyyy
Name Gender Male Female DOB mm/dd/yyyy
Name Gender Male Female DOB mm/dd/yyyy

For safety reasons, USFS requires that you download, sign and return by mail the release document. Click here

Membership Fees (Payment will be made on following page) Choose Submit to continue FIRST TIME MEMBERS First Time USFS Adult Individual Member (18 or older) $ 60 First Time USFS Child Member (under 18) with Parent/Guardian $ 80 First Time Family Membership (up to 4 family members) OR $ 95 Additional Family Member $ 25 RENEWING MEMBERS Adult Individual Member (18 or older) $100 Child Member (under 18 years old) (includes 1 Parent/Guardian ) $120 Family Membership (up to 4 family members) OR $135 Additional Family Members Residing in Same Household $ 25 OTHER MEMBERS Professional Member (Coaches) $ 40 Therapeutic (Special) Skater $ 25 Associate Member $ 30 Officials and Lifetime Members $ 0