Please submit one form per team. Resubmit this form if names are different for each age groups.
Please provide the following contact information:
Managers Name Organization Street Address Address (cont.) City State/Province Zip/Postal Code Cell Phone Home Phone E-mail URL
Select the following age groups that applies:
9U 10U 11U 12U 13U 14U
Enter your USSSA Sanction Number in the space provided below
Comments or Questions: (Remember to indicate what division you wish to play in the comments or question box below. Open (Major/AAA) or AA)
Please contact Kelly Grosskopf at 563-386-2881 or Doug Wescom at 563-320-1524 if you haven't been notified within 48 hours of submitting this form. Thank you!