Personal Information First Member   First Name: * Middle Initial: Last Name: * Date of Birth (MM/DD/YYYY): * Gender: * Male  Female Referred By: Use this section if there is more than one member. Second Member   First Name: Middle Initial: Last Name: Date of Birth (MM/DD/YYYY): Gender: Male  Female   Contact Information Phone Number: * Alternate Phone Number: E-mail Address: Alternate E-mail Address: Address 1: * Suite or Apt: Address 2: City: * State/Province (2-letter code): * Zip Code: *     Membership Plans – T-Shirts Included for New Members and 3&5-Year Renewals Junior (21 & under) - 1 Year $20 USD Junior (21 & under) - 3 Years $54 USD, includes Rulebook Junior (21 & under) - 5 Years $80 USD, includes Rulebook Adult (age 22+) - 1 Year $25 USD Adult (age 22+) - 3 Years $68 USD, includes Rulebook Adult (age 22+) - 5 Years $100 USD, includes Rulebook Family (3+ Members**) 1 Year $50 USD Family (3+ Members**) 3 Years $135 USD, includes 2 Rulebooks Family (3+ Members**) 5 Years $200 USD, includes 2 Rulebooks ** Limit of 2 T-Shirts per Family       T-Shirt Size(s) — Unisex Sizes Member 1: * Colors are approximate Small Medium Large – Unisex Sizes XL 2X 3X Member 2 (if applicable): Small Medium Large – Unisex Sizes XL 2X 3X       Area Ambassadors Volunteer to be considered? Yes     No Which state would you want to represent?   Want to help grow Pickleball? Volunteer to help the USAPA by contacting a committee chairperson on this page. (opens in a new window) Enter amount if you would like to donate: Comments: * Denotes required fields.

After clicking Submit, you will be given a option of paying by PayPal or printing this form and mailing with a check to:

USAPA (USA Pickleball Association)
C/O Membership Application Department
P.O. Box 7354
Surprise AZ 85374

* Your USAPA Welcome Packet and Information will be shipped after payment is received.