EAAD 2027 Membership Form

Team Membership Registration Form

Please fill out the form to register for EAAD 2027 Membership
Name of Organization or Team

Team NameContact NameCoach or Officer (Add Title Please)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
Please spell it correctly for us to reach out to you
Text Number
This will only be used if we need to reach out to you immediately Format: (000) 000-0000.
Men's or Women's
Membership Dues

Returning Teams/Organization: $50.00

New Teams/Organization: $100.00

Insurance Affilation w/ EAAD: $50.00

Payment can be made via ZELLE: eaadsectreas@gmail.com OR CASH APP via $payallie and please reach out to EAAD Secertary/Treasurer Alexandria Pucciarelli Miller (eaadsectreas@gmail.com) if you have any questions.
I acknowledge that I have received, reviewed, and agree to follow the EAAD organization's Bylaws, Rules, and Guidelines. I understand that my team and its members are expected to comply with all applicable policies and requirements.
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Team Membership Registration Form