Membership Registration Form

Address:

Birth Date:

Month Day Year
Membership type:
Program:
Where did you hear about us?
Complete form and provide payment to Ultimate Wheelchair Sports Foundation.

Each member using equipment and/or participating in a sports program will be required to volunteer for our fundraising casino (occurs every 18 months). If you cannot volunteer, you are required to find someone to take your spot.
Signature
By clicking here, I electronically sign and agree to the membership conditions above.
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Ultimate Wheelchair Sports Foundation