Current USATF Individual Membership # ... must file a membership application,
applicable coach's registration forms, and club practice schedule each year.
Organizational/Club Membership Application Organization Information
For Association Use Only Date Rec’d ____________________________ Check#___________Amt $_______________ # of Membership Years_________________ Membership Year(s) ____________________ Assoc. #_ ____________ Club ______________
*Organization Name________________________________________________ Use of "Olympics", "Team USA", or "USATF" are not permitted without permission from the USOC and/or USATF
Type of Organization r Competitive Club r Event Organizer r Corporate r Other
r Youth r Masters r Open
Check all that apply
CONTACT INFORMATION
Sports r Track
r Field
r Road
r XC
r Mountain
r Ultra
*
$100 late fee; Renewal applications received after May 1st COMPETITIVE CLUBS ONLY
r Trail r Race Walking *Specified contact information will be posted on USATF website, www.usatf.org
All mail and e-mail correspondence from USATF will be sent to the following Contact Person ____________________________________________________________________________________ *Required to Access Club Management Area
Current USATF Individual Membership #_ _________________________________________________________
Our organization, if accepted, hereby agrees to abide by the Rules and Regulations of USA Track & Field and to respect and enforce all decisions of USA Track & Field and its Associations.
Signature of Organization Officer Return this application form to:
PLEASE REGISTER OUR CLUB/ORGANIZATION FOR: r 1 YEAR r 2 YEARS r 3 YEARS r 4 YEARS
Fee = number of years X annual membership fee
*$100 late fee; Renewal applications received after May 1st COMPETITIVE CLUBS ONLY
NOTE: To maintain current contact information and to properly activate the liability insurance, clubs/organizations who apply for multi-year memberships must file a membership application, applicable coach’s registration forms, and club practice schedule each year.
Date For National office Use Only
Date Rec’d__________________________________________ Date Ent’d___________________________________________ Entered By_______________ CC $______________________ Check __________________ Amt. $_____________________