Step 1 - Submit Application

Application Type

New Member

Renewing Member

Name (First & Last)

I do not wish to receive WWFSC info via email.

Address

City

State

Zip

Phone

Mother's Name and Phone

Father's Name and Phone

Gender

Male

Female

Date of Birth

USA Citizen

Yes

WWFSC to be my:

Home Club

Second Club

A skater can have only one Home Club. This is the club that provides USFS Membership. A skater must be a USFS member to participate in test sessions. Members wishing to change Home Club membership after registering with a club for a season (July 1st – June 30th) must fill out a Change of Home Club form from the USFS with the appropriate signatures. A skater can change Home Club during the next season without the form.

Home Club (if not WWFSC)

USFS #

Coach Name

Coach Phone

Primary Activity

Parent/Guardian

Coach

Competitive Skater

Recreational Skater

U.S. Figure Skating Official/Officer

Club Officer/Board Member

Other

Primary Rink

Secondary Rink

PSA # (only required if application is for coach)

Name (s) of WWFSC Students (only required if application is for coach)

Check here if you are selecting the collegiate membership (no need to complete step two)

Check here if you are a WWFSC Board Member

TO REMAIN IN GOOD STANDING, CLUB FAMILIES ARE REQUIRED TO VOLUNTEER A MINIMUM OF FOUR (4 ) HOURS AT AN ELIGIBLE EVENT.

The Wagon Wheel Figure Skating Club Offers a Home Club Membership which requests participation in its organization. If Accepted for Membership, I will abide by the Constitution and By-Laws of the WWFSC, Inc. and those of the USFS. I agree that the Wagon Wheel Figure Skating Club, Inc, its members, its coaches, and or its Board of Governors will not be held responsible for any accidents or loss and agree to release the club, its Board of Governors, coaches, and members from claims or damage which may arise.

Yes, I have read and agree to the terms above.

Signed (Member if over 18 or Parent/Guardian if under 18)

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