USSSA - United States Specialty Sports Association

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Welcome to USSSA

USSSA's mission is to be the most visibly recognized, technologically advanced, professionally represented sports organization in the world.

We will achieve this success by an uncompromising commitment to meeting the needs of the Teams, Coaches, Sponsors, Park Owners and Fans. As an organization our attitude is that team / player sponsor / fan satisfaction is everything.

United States Specialty Sports Association Insurance Program

Note: There is an additional $10 charge for online processing.

Age Group determined by the age of the oldest child on the team at the time of purchase.

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Team Name:

USSSA Team Registration Number:

Contact First Name:

Contact Last Name:

Contact Address:

Contact City:

Contact State:

Contact Zip Code:

Contact Phone:

Contact Email Address:

Complete items below only if field/facility owner requests additional insured status. Below there are text boxes to add one field/facility owner. If you have more then one field/facility owner, please email requests for additionals to insurance@usssa.com. Make sure you include your team name and payment confirmation number with the additional field information. You will receive this confirmation number after paying online.

Name of Field/Facility Owner:

Address:

City:

State:

Zip Code:

Contact Person:

Phone:

I hereby certify the above information is correct and the team is USSSA registered

Please complete the missing fields of the form