USCAA National Membership Application
You must be a member of the USCAA to compete in USCAA Events
Memberships are higher at the event
* - indicates a required field.
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Action* |
Create a new Membership for a new person, for
Start or Renew my Membership, for
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Name* |
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first |
middle (optional) |
last (surname) |
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Gender* |
male
female
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Birthdate* |
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I am a* |
team captain
team coordinator
athlete
supporter |
Address* |
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city |
state/province |
zip/postal code |
country
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Phone |
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work |
cell |
home |
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Email* |
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Team* |
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Type* |
employee,
retiree,
contractor,
alumni,
family member,
other
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Employer |
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I would like to help:
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choose or plan a future Nationals
recruit more teams
with sponsorship
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Username |
(your email address above - MAKE SURE IT'S CORRECT!)
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Password*
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Hint |
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Waiver of Liability
In consideration of my acceptance of this form and USCAA membership application, I hereby, on behalf of myself, my heirs, executors, administrators and assigns; waive, release and hold harmless the USCAA, their directors, managers, officers, employees, representatives and agents from any and all claims for damages and or injuries arising from or out of my participation in and travel to and from USCAA events.
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