Membership year / season
Annual membership fee: $100
Legal name
Preferred name
Date of birth
Age
Email
Mobile phone
Home address
City / State / ZIP
State / regional chapter (if known)
Primary language
Parent / guardian name
Relationship to athlete
Email / phone
Address (if different)
Club, school, or training organization
Coach / instructor name
Coach email / phone
Years practicing yoga / Yogasana
Years competing (if applicable)
Current or preferred age group
Competition category (if applicable)
Other events or interests
List prior championships, placements, awards, or notable experience
What are your goals as a USYSF athlete?
Classification, if known (optional)
If yes, please describe
Please share only information needed to arrange participation support. Do not include medical records or detailed diagnoses on this form. The Federation may follow up through a secure process if additional information is needed.
Emergency contact name
Relationship
Phone / alternate phone
Email
Important emergency information for event staff (optional; share only what is necessary)
Do not upload documents here. Email the applicable documents to secretariat@usyogasana.org . The Secretariat will confirm which items are required for your membership or competition registration. Do not send sensitive documents unless requested. Use the lists below to tell us what you are sending.
Proof of age or identity for competition eligibility, if requested
Proof of residential address
Current insurance documentation, if required for a program or event
Business or nonprofit registration / formation document
Organization tax ID (EIN) verification, if applicable
Proof of organization address
Authorized representative / current leadership information
Program description and other relevant supporting documents
Completed W-9 or applicable tax documentation
Voided check or official bank letter for the account receiving payment
Tax documents, bank details, and identity documents contain sensitive information. Submit them through a secure method designated by USYSF. If the Secretariat directs you to use email, password-protect the files and provide the password separately. A voided check is requested only when payment or reimbursement by bank transfer is applicable.
Permission may be withdrawn for future use by contacting USYSF. This does not require removal of materials already printed or distributed, where removal is not reasonably possible.
I certify that the information I provided is accurate to the best of my knowledge. I understand that USYSF may contact me for clarification or request additional documentation through an appropriate secure process.
Athlete name
Athlete signature (type your full legal name)
Date
Parent / guardian signature (if under 18, type full name)
Parent / guardian name
Date
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