2020 USADB Team Registration Form Team Name*Region*Please selectCAADEAADFAADMAADNEAADNWADBSEAADSWBADBypassDivision*Please selectMen Division 1Men Division 2Women DivisionParticipating in national?*YesNoUSAB Team Insurance IDCoach*Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please list your team members*Instruction: For the Type column, enter P = Player; A = Free Agent C = Coach; AC = Assistant Coach; M = Manager; or S = Statistician (Limit 15 names on form) *Click on (+) to add new line.*Last NameFirst NameM.I.Uniform #HtTypeDOBCityStateEmail Name of Person to represent your team at the Team Representative Council meeting*Would you like to pay after submitting this form?*YesNoMen fee Price: $450.00 Women fee Price: $350.00 Please click here to read our Code of Ethics and Basic Guidelines By signing this form, you agree to the conditions of the liability release and waiver form and coaches/players code of ethicsCoach agreement As coach of my team, I agree to follow the Regional and USADB Bylaws Coach signature (name)*Date Date Format: MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.