Name:    _________________________________________________________________
Address: _________________________________________________________________
City:    _______________________________  State: ______  Zip: ____________
Daytime Phone: _________________________  Evening: _______________________
Email:   _______________________________  Fax: ___________________________

I am affilitated with (club/etc): ________________________________________

Have you volunteered at a skating competition before:  Yes  No
If yes, list most recent (international, national, qualifying, or club):

Competition(s):   ________________________________________________________
                  ________________________________________________________
Areas/Committees: ________________________________________________________
                  ________________________________________________________

I am willing to work ____ shifts during the competition.  I will be able to work
these shifts during any of the following times and days (mark with "X"):