USA National Shuffleboard Association
Established 1931

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YOUTH APPLICATION

TO REPRESENT THE USA NSA

ON AN ISA TEAM AT SEATTLE 2012

* = Field Must be Filled In
 

*Full Name:   

      *Gender:  
Main Address Contact Information
*Address:  
*City, State, Zip:  
*Telephone No:  
*Email:  
Summer Address Contact Information (if applicable)
*Address:  
*City, State, Zip:  
*Telephone No:  
*Email:  
  Additional Information
*Personal Suitability:           What makes you prepared to well represent the NSA among people of all ages from around the world?
*Ability:                                   What shuffleboard abilities and/or achievements do you have?
*Comments:                               Tell us a few things about yourself or family interests in shuffleboard or other activities that will help us know you better. 

*Family Support:                    Please have a "parent" add their support of your application with a few comments.

 
*Shirt Size:

 

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This site was last updated 04/16/10