Membership Application

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Select your Membership Type:

Membership is annual & expires on October 31st.

Fields marked with are required below, other fields may be completed at anytime within your profile.*

Payment will be processed at the completion of this form to activate your membership.

Membership: Competition Class

Auto Renewal:

Check this box to have your membership automatically renew.

Create New Login:

IMPORTANT: If you have ever been a US Biathlon member or donor, please login here before joining or renewing your membership. Completing this form will create a new US Biathlon account entry.

Personal Info:

First Name: Middle/Initial: Last Name: Gender: Birth Date (mm/dd/yyyy): / / USBA Club

For MINOR Members Only:

All fields below are REQUIRED by parent/guardian applicant completing this form.

Relationship to Minor First Name Last Name Phone Email

Contact Information:

Address Type: Home Address: City: State: Province (Foreign) Zip Code: - Preferred Contact Method

Text

Social Media Messaging

Phone

Preferred Phone: Preferred Email:

Biathlon Bio (Optional):

Optional & may be completed within your profile at any time.

Year started biathlon What I love about biathlon

Coaches Info:

For coaches only, please complete this section if you are a certified US Biathlon coach.

Coach Certification Level Coach Certification Date (YYYY)

Liability Waiver:

CLICK HERE to READ USBA Liability Waiver

HAVING CAREFULLY READ THE FOREGOING USBA LIABILITY WAIVER AND UNDERSTANDING IT TO BE A LEGALLY BINDING RELEASE AND INDEMNITY AGREEMENT, *MEMBER SIGNIFIES THEIR ASSENT TO THE ABOVE TERMS BY DIGITALLY INITIALING BELOW:

*For Clubs, Organizations or Corporations this must be the OFFICIAL LEGAL REPRESENTATIVE who signs on behalf of the organizations BOARD OF DIRECTORS (usually SECRETARY, PRESIDENT, OR VICE PRESIDENT).

Donation: