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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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.
Please complete the missing fields of the form