On-line Membership Form

City *

Phone # w/area code *

Last Name *

Email: *

# Request 1st Choice *

Mailing Address *

# Request 2nd Choice *

First Name *

Date of Birth & AGE *

NOTE: Your membership card will be available for pick-up at the sign up booth during the next event. You will be required to sign the "Release & Indemnity Agreement" at that time.

Date and time

State *

2017 Membership Application - $45.00

Zip Code *

Message to SCFTA

Type of Membership *

Adult

Minor