Club | USA Boccia Membership

First Name *

Last Name *

Email *

Password *

Confirm Password *

Categories *

Full Membership - $75.00

Intended for Majority of Members: Standard membership with full benefits. i.e. Athletes, Coaches, Assistant Coaches, Ramp Operators, Sport Assistants, Board & Committee members. Anyone can upgrade to Standard membership for full benefits. Contact National Office if there are questions.

Support Membership - $37.50

Only intended for key volunteers and supporters. i.e. Referees & Classifiers.
Not intended for a coach, player, sport assistant or ramp operator, Contact National Office if there are questions.

Introduction In-House (Recreation) Athlete Membership - $20.00

This is for individuals that only participate at their own facilities ( aka in-house) and only against their club members (no outsiders) or for FIRST TIME ONLY tournament participation. I.E. include day camps, gym/school classes, hospital rehab, large multi-sport organizations for their inhouse competitors ONLY. Benefits limited but can upgrade to Standard Membership. Contact National Office if there are questions.

What roles do you perform? (full membership, check all that apply) *

Athlete

Coach or Assistant Coach

Ramp Operator

Sport Assistant

Referee

Board Member

Committee Member

Program Administrator

Supporter

General Volunteer

Family Member

What roles do you perform? (Suppport Membership) *

Referee

Classifier

Supporter

General Volunteer

Family Member

What roles do you perform? (Inhouse Membership) *

Athlete (noncompetitive, never leaves home site)

General Volunteer

Senior Athlete (over 55 years old)

Family Member

What roles do you perform? (Admin/Teacher/Student Membership)

Institutional Administrator

General Volunteer

Country *

Address *

City *

State *

Zip Code *

Phone *

Emergency Contact *

Emergency Phone *

What is your Race/Nationality? *

Date of Birth? *

What is your Gender? *

Are you a Veteran? *

Yes

No

What branch of service were you in? *

What is your Diagnosed Primary Disability? List NA is none. *

Do you have a SCI diagnosis? (Spinal Cord Injury) *

What Local Boccia Club or Program are you affiliated with? *

What non-boccia affiliate organization are you affiliated with? Intended for non athletes, coaches, Ramp Operators, etc. Examples: Parks Dept Name, School Name, Company Name, Rehab Hospital Name, College Name, Senior Center Name,etc.

Are you the guardian for the member? *

Yes

No

Guardian Name *

Guardian Email Address *

Guardian Cell Phone Number *

Have you passed a background check within the last three years?

Yes

No

Please upload a background check file or image

Would you like to Make a Financial Donation to Help USA Boccia Continue to Grow?
click here, to learn more about this cause

Amount $

Code of Ethics Form - Please Read *

I have read and agreed to the TERMS *

CLICK HERE TO VIEW THE TERMS.

Is the participant 18 or older? *

18 or older Under 18

Waiver *

I have read and agreed to the TERMS *

CLICK HERE TO VIEW THE TERMS.

Is the participant 18 or older? *

18 or older Under 18

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