Team Member Connect

Name

First Name

Last Name

Email (We Need This for Event Waivers)

Birth Date (For TSA Waivers)

MM

DD

YYYY

Phone

(###)

###

####

USPA License Number

(A-, B-,C-,D-)

Ratings

USPA License Number Expiration Date

MM

DD

YYYY

Home Town

Current Number of Jumps

Anything Special About You the Narrator Can Add to the Narration