Application for US Team

Application for USA International Team
Deadline February 28, 2025

* Indicates required field

Name *

First

Last

Gender *

Email *

Phone Number *

Summer Address *

Summer City *

Summer State *

Summer Zip Code *

Winter Address *

Winter City *

Winter State *

Winter Zip Code *

List Personal Suitability:

Point #1 *

Point #2 *

Point #3 *

Point #4 *

List NSA Offices Held (Past or Present):

NSA Office #1 *

NSA Office #2 *

NSA Office #3 *

NSA Office #4 *

List Playing Accomplishments:

Accomplishment #1 *

Accomplishment #2 *

Accomplishment #3 *

Accomplishment #4 *

List service to NSA or any other shuffleboard organization to promote shuffleboard:

Service #1 *

Service #2 *

Service #3 *

Service #4 *

Number of ISA Tournaments I have played in *

Number of National Points Earned *

Shirt Size *

Submit