What roles do you perform? (full membership, check all that apply) *
What roles do you perform? (Suppport Membership) *
What roles do you perform? (Inhouse Membership) *
What roles do you perform? (Admin/Teacher/Student Membership) *
Country *
-- select country --
Canada
International
United States
State *
-- select state --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-- select state --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-- select province --
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
What is your Race/Nationality? *
-- select one --
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Multi-Racial
Not Specified
I choose to keep private
What is your Gender? *
-- select one --
Male
Female
Prefer not to state
What branch of service were you in? *
-- select one --
Army
Navy
Air Force
Marines
Coast Guard
Space Force
Do you have a SCI diagnosis? (Spinal Cord Injury) *
-- select one --
yes
no
What Local Boccia Club or Program are you affiliated with? *
-- select one --
Unaffiliated
KS, Green Machine
NY, NY Thunderbolts
KS, Blue Valley Boccia Club
OH, Paralympic Sports Club of Columbus
IL, Synergy Adaptive Athletics,
MO, Disabled Athlete Sports Association (DASA)
VA, Sportable Richmond Adaptive Sports and Rec,
TX, Straps - San Antonio
OH, Youth Challenge, Westlake
OK, Center for Individuals with physical challenges-Tulsa
CO, Paralympic Sport Colorado Springs
MO, St. Louis Cluster Busters
FL, Miami-Dade Parks TR
TX, San Antonio Boccia Warriors
MO, The Whole Person, Kansas City
CA, SoCal Adaptive Sports Dragons
NC, Bridge II Sports
IL, UCP Segwynn
Are you the guardian for the member? *
Have you passed a background check within the last three years?
Please upload a background check file or image