USCAA National Membership Application
You must be a member of the USCAA to compete in USCAA Events
$15 online, $20 mail-in/fax form, $25 at the
event
* - indicates a required field.
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Create a new Membership for a new person, for
year(s) starting in
Start or Renew my Membership, for
year(s) starting in
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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, event organizers and officials, representatives of the host city and their directors, managers, officers, employees and agents from any and all claims for damages and or injuries arising out of participation in and travel to and from any USCAA associated event.
Participants agree to hold harmless, indemnify, and defend the State of California, the Trustees of the California State University, the California State University San Marcos and the officers, employees, duly authorized volunteers, and agents of each of them (University) from and against any and all liability, loss, damage, expense, costs of every nature, and causes of actions, except for the sole negligence or willful misconduct of University, arising out of or in connection with our use of the property referenced above in the provision of services for this event.
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