AZ USATF Individual Membership Application

General Instructions:

This screen accepts membership information. After the screen has been filled in, select "Form Complete", print, sign, and send to USATF/AZ.
Notes:
1. All fields are required except for Initial, Phone, E-Mail, and Club.
2. If the printed form will not fit on one page (Use Print Preview to check) make the font size smaller.
    In IE: Choose View --> Text Size. In NN: Choose View --> Decrease Font.

New Member Renewal from last year (Previous USATF Number: )

Name

First Initial Last Suffix

(Jr, Sr, etc.)

Home Address:

Street

Street 2

City

State

Zip Code -

Phone: ( )   - Ext.

E-mail: (

Personal Information

Birth Date:

Gender: Male Female

Country of Citizenship:

Arizona USATF Registered CLub

Club Name:

Sports Codes (Check all that apply)

Track Events Road Running / Long Distance
Field Events Ultra-marathon running
Cross Country Mountain / Trail
Race Walking

Membership Categories (Check all that apply)

Athlete Parent
Diabled Athlete Administrator

Fee Calculation

$20 per year for Youth, $30 for Adults
Your tax-deductible donations/contributations are always welcome.
   Junior Olympics $
   National Programs $
   Local Association $

Home
Click "Form Complete" when you have finished entering your information. A summary of your information will appear in a new window which you can print out and then sign.

Sports Codes	(Check all that apply)
Track Events	Road Running / Long Distance
Field Events	Ultra-marathon running
Cross Country	Mountain / Trail
Race Walking

Membership Categories	(Check all that apply)
Athlete	Parent
Diabled Athlete	Administrator

Fee Calculation
$20 per year for Youth, $30 for Adults
Your tax-deductible donations/contributations are always welcome.
Junior Olympics	$
National Programs	$
Local Association	$