The APA >Join/Renew

On The Ball   APA News   Press Coverage   Calendar of Events   USA Polocrosse Clubs   Useful Links   World Cup 2011   APA Nationals Support the APA   Join/Renew   Sponsors   Make a Donation   List Your Club Programs   Umpiring   Player Development Media & News   Off The Racquet   Member News   Press   Photos   Videos How to Play   General Info & Rules   Glossary   FAQ The APA   About Us   Board of Directors   Forms & Documents   Contact Us Home     Member Benefits The American Polocrosse Association offers its members newsletters, rulebooks, coaching and umpire certification programs, eligibility to participate as a player in sanctioned tournaments, eligibility to compete in international competitions, a general liability insurance policy, and a commitment to promote the American Polocrosse Association. Online Membership Application/Renewal Thank you for using our online system. Please complete ALL the information below to register for the first time, or renew or update your current membership. Each membership type requires it's own form. (i.e.; a family membership will fill out this form once. Two adult memberships require filling out a form for each.) Once completed, you will have the option to pay online using our secure PayPal system or by check or money order. Life members and current members who have paid, please update your information below First Name A value is required. Middle Initial Last Name A value is required. Suffix  Address A value is required. (mailing address please)  City A value is required. State Select ... AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Please select a valid item.Please select an item. ZIP A value is required.Invalid format.  Phone A value is required.Invalid format.  Cell A value is required.Invalid format. Email A value is required.Invalid format.  Birthdate A value is required.Invalid format. (mm/dd/yyyy eg.01/24/1975)  APA# NOT REQUIRED  Club Zone Select ... Eastern Central Mountain Western Please select a valid item.Please select an item. (same as your Time Zone)     MEMBERSHIP TYPE     All memberships end on December 31st of each year. Beginning October 1st, the price of new memberships is discounted 75 % to: Family $27.50; Individual $17.50; Junior $10.00. Renewals are due during January. After January 31st, there is a 20% late fee for renewals. Family $110.00 - Includes husband, wife, and children under 18 (late renewal price $132.00)   Please include information on all family members registering below   Spouse First Name Middle Last Birthdate Invalid format. APA# TBD   Child First Name Middle Last Birthdate Invalid format. APA# TBD   Child First Name Middle Last Birthdate Invalid format. APA# TBD   Child First Name Middle Last Birthdate Invalid format. APA# TBD   Child First Name Middle Last Birthdate Invalid format. APA# TBD   Child First Name Middle Last Birthdate Invalid format. APA# TBD Individual $70.00 - Adults 18 and older (late renewal price $84.00) Junior $40.00 - Children 17 and under - requires parent's permission - (late renewal price $48.00)   I am the parent of the minor applying for Junior Membership and I approve the application.     Parent First Name Parent Last Name LIfe Member CURRENT Life members only- only available for renewing life members to update and confirm membership information Associate $30.00 - Support the APA and receive our newsletter N/A Day Member $20.00 - Only available for one sanctioned tournament per year- sign up at tournament of choice   NEWSLETTERS AND PUBLICATIONS Please support the APA in its effort to be green and read the news online. If you are unable to participate in this effort please specify below. Online Paper-by mail   AGREEMENT   Please make a selection. I agree to abide by the by-laws, rules, and regulations of the American Polocrosse Association.     SECURITY       If you would rather complete your application offline, please use our paper application: [pdf]

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