2023 USABA Breakfast with Champions Virtual Registration

Friday, October 27, 2023

We are thrilled to be offering the Breakfast with Champions as a virtual event so everyone across the country can join in the celebration. Breakfast with Champions is the U.S. Association of Blind Athletes' annual fundraising event for our athletes and members across the U.S. who are blind and visually impaired.

The week of the event, information regarding virtual attendance via Zoom or Facebook will be sent to the email you specify below.

REGISTRATION CLOSES THURSDAY, OCTOBER 26, 2023

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* 1. Please enter your contact information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. Which of the following best describes you? (Select all that apply)

USABA Annual Member

USABA Lifetime Member

Friend/ Donor/ Supporter

Corporate Partner

USOPC/ NGB Staff

Other (please specify)

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* 3. Are you attending a livestream watch party?

Yes

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* 4. While virtual attendance is complimentary, we ask that you consider donating to help USABA further its mission to empower Americans who are blind and visually impaired to experience life-changing opportunities in sports, recreation and physical activities.

$50 donation can provide a USABA athlete membership and additional training & competition opportunities - $50 USD

$100 donation can supply a goalball or blind soccer ball - $100 USD

$250 donation can provide a scholarship to introduce sports through camps and clinics to youth who are blind or visually impaired - $250 USD

$500 donation can provide a travel grant for athletes to participate in a goalball or blind soccer talent ID camp in preparation for the Paris 2024 and Los Angeles 2028 Paralympic Games - $500 USD

Other amount

Minimum amount: $50 USD

You will pay at the end of this survey.