of the twin cities

Membership Application

July 1, 2020 - June 30, 2021

Personal Information
U.S Figure Skating Member Number
*Skater Last Name
*Skater First Name

*Date of Birth (mm/dd/yyyy)

Female Male
*U.S. Citizen
Yes No



*Primary Email
Secondary Email

*Item is required by U.S. Figure Skating.
Club communication is sent via email; check this box if you would rather receive communication via postal mail.

Primary Phone
Secondary Phone

Parent/Guardian Name (if skater under age 18)

Eligibility Status

Ineligible (participated in unsanctioned activity)
Restricted (by reason of employment)
Skating Motivation - Check all that apply

Competitive Skater
Recreational Skater
Adult Skater
Collegiate Skater
Synchronized Skater
Club Officer/Board Member
U.S. Figure Skating Officer/Official


Coach's Name
Coach's Phone

Membership Type - Note: Annual dues are not prorated for a partial year membership.
First Family Member (good for 1 year; includes USFS dues and Skating Magazine)$100.00
Additional Family Member (good for 1 year; includes USFS dues)$60.00
Introductory Membership (good for 1 year; includes USFS dues and Skating Magazine)$65.00
Collegiate Member (good for 4 years; includes USFS dues and Skating Magazine)$170.00
Associate Member (good for 1 year of Starlight membership only)$35.00
      U.S. Figure Skating Home Club (if applying for Associate)

I hereby apply for skating membership in the Starlight Ice Dance Club of the Twin Cities (Starlight). I agree to comply with the Starlight rules, as stated in the bylaws (available at, when participating in any Starlight activities. I recognize that Starlight has been formed to promote ice dancing. It is understood that Starlight will take reasonable means to provide a safe experience for its membership; however, it is further understood that ice skating is inherently dangerous and neither Starlight nor its officers or board members assume any financial responsibility for any accidents that may occur.
I have read and understand the Safe Sport Statement and Member Code of Conduct.