The pre-existing team registration deadline is October 1st. You have a 30 day grace period, which would give your team until October 31st. If you are a pre-existing team and you fail to meet the deadline, your team will be assessed a $100 late fee

Fields with an asterisk * are required. The form will not submit unless these fields are filled out and verified. If they are not valid values, you will see a red box and red asterisk around the field. Correct these items before submission.

This form uses image verification to stop automated spam bots. Enter the bold text (case sensitive) before submitting the form. The form also uses JavaScript and session cookies for security, so please make sure these are enabled in your browser. If you are having difficulties seeing the image, contact the IT Committee at This e-mail address is being protected from spambots. You need JavaScript enabled to view it and they will help.

Note: This is not a contact form. To contact a team in your area, review the D1 map and the D2 map, and go to the list of Team Contacts.

Team Registration

 

Team Name*

 

Division* Div # 1 2

 

Team Status* Choose... Existing Team Existing Team with Name Change New Team New Team from Team Split

 

Team Representative Name*

 

Team Representative Email*

 

Head Coach*

 

Head Coach Email*

 

Assistant Coach

 

Equipment Manager

 

Team Manager

 

Team Mailing Address
To be used for USPSA mailings

 

Address

 

City

 

State Choose... AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

 

Zip Code

 

Team Facility Address
To be listed on the team map

 

Address

 

City

 

State Choose... AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

 

Zip Code

 

Team Roster
A team must consist of at least 4 players. Include their full name and jersey number.

 

Athlete #1*

 

Athlete #2*

 

Athlete #3*

 

Athlete #4*

 

Athlete #5

 

Athlete #6

 

Athlete #7

 

Athlete #8

 

Athlete #9

 

Athlete #10

 

Athlete #11

 

Athlete #12

 

 

Image Verification*