User Access Request: Sports Connect Association Platform

IMPORTANT: This form should only be used if your organization does not have any user access to the new state association platform. If an organization already has a user with access, additional users must be added by that user - do not complete this form. Additionally, only users with current top-level access in the current registration platform will be provided access to the new system through this request form.

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Organization Name

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* 5. Please Provide the Following Information of the Requested Primary User:

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *