First Name
Last Name
Email
Phone Number
Role
Please select...
Commissioner/Athletic Director
Coach
Parent
Organization
City
State
Please select...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Type of Organization
Please select...
Tackle
Flag
Both Tackle and Flag
Level of organization
Please select...
Youth
Middle school
High school
Check all USA Football Programs your organization participates in (Select any that apply):
Heads Up Football
NFL FLAG
Punt, Pass & Kick
FUNdamentals
Protection Tour
U.S. National Football Team
Team Mom of the Year
Other Award Programs
None of the above
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