USSSA Membership Registration
Taekwondo
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MEMBERSHIP TYPE
(Select One)
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* Are all required fields.
Membership
runs from August 1 thru July 31. |
* Athlete: Youth (Youth Athlete Coach) or Adult
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* Non-Athlete: Coach, Official, Volunteer
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APPLICANT
INFORMATION
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* Email Address:
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* First Name: |
_______________________________________________________________________ |
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* Middle Name: |
_______________________________________________________________________ |
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* Last Name: |
_______________________________________________________________________ |
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* Address: |
_______________________________________________________________________ |
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* City: |
_______________________________________________________________________ |
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* State: |
_______________________________________________________________________ |
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* Zip Code: |
_______________________________________________________________________ |
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* Home Phone: |
_______________________________________________________________________ |
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* Work Phone: |
_______________________________________________________________________ |
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* Date of Birth: |
_______________________________________________________________________ |
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* Gender: |
_____ Male _____ Female |
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* Your Rank: |
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Martial Arts School: |
_______________________________________________________________________ |
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Instructor: |
_______________________________________________________________________ |
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School Phone Number: |
_______________________________________________________________________ |
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Does member applicant have personal health insurance? |
_____Yes _____No |
USSSA MEMBERSHIP CODE
I agree to be bound by the USSSA Membership Code as
well as all USSSA operating procedures and policies, including but not limited
to: Binding arbitration and the release and indemnity of the USSSA. By paying my annual membership dues, I
certify that I have never been convicted of any sex offense nor felony; or, if
so, I must apply for membership (and receive approval) through the USSSA
National Office. I further certify that this membership application is correct
in every material aspect, including but not limited to my (street) address and birth
date.
All memberships are subject to approval by the
registration committee. In the event of
a rejection a full refund is available.
Membership runs from September 1 through August 31.
Athletes' Code of Honor
I promise upon my word of honor that I will not
take unfair advantage of an opponent, that I will be courteous in word and
demeanor to opponents, officials and spectators, that I will observe the rules
of the game in spirit as well as in letter, and that I will constantly strive
to uphold the ethics of amateur sports.
Non-Athlete' Code of Honor
I promise upon my word of honor to help to create
an environment in which primary emphasis is placed upon the emotional and
physical well-being of all USSSA athletes, rather than winning. I will lead, by
example, and will demonstrate the value of fair play and sportsmanship to all
participants.
* I understand and agree to be bound by the
USSSA membership code. (Electronic signatures are legally binding.)
No refunds are issued for membership once accepted.