United States Travel Baseball Association

	TEAM REGISTRATION
	UNITED STATES TRAVEL BASEBALL ASSOCIATION

Complete and submit this form to UNITED STATES TRAVEL BASEBALL ASSOCIATION to become a registered USTBA Member. Member teams may participate in any USTBA Sanctioned Invitational, State & National Championship tournament event. All USTBA Tournaments are “Open Events” for all member teams. Team Rosters are required for each event entered into prior to start of play.

* = (required)

Membership Registration Year

(Annual Membership runs January 1 thru December 31)

Team Information

Complete Team Name

Age Classification	*
Manager’s Name	*

Manager’s Mailing Address	*

*	City	State*		Zip*

*	Home Phone		Work Phone


	*	Cell Phone

		Promotional Code

Valid E-mail Address	*

Team Mom Name	*

Team Mom E-mail	*

Team Insurance Carrier

Insurance Policy #

Team Website (optional)


(Spam Blocker) - REQUIRED Re-Enter Zip

USTBA
The Place to Play - Are You Game?