Team USA Wheelchair Softball Application
Deadline to apply: January 30, 2022
Team Selection: February 28, 2022
Email *
Cannot pre-fill email
First Name
Last Name
Email Address
Address 1
City
State
Zip
Date of Birth
MM
/
DD
/
YYYY
Passport number
Passport Expiration Date
MM
/
DD
/
YYYY
COVID 19 Vaccination Status
Email address
Cell Phone
Phone #
Current NWSA Team
Primary Position
Secondary Position (List All)
NWSA Classification
Disability Description
Years playing Wheelchair Softball In NWSA
Jersey Size
Desired Number
Second Number Choice
Shorts Size
Pant Size (Please add waist size)
Polo Shirt Size
T-Shirt Size
Shoe Size
Hat Size
Short Bio
What would being on Team USA Mean to you? *
NWSA Honors and All tournament Selections *
Are you a Veteran?
Anything additional that you would like to add? *
Head shot *
Required
Link to game footage. Please make sure you and your number are visible. *
Get link
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy