Membership Application (Individual/Retired)

Name*

First Last

Email*

Please use your institution /.edu email, if possible

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Do you currently have a TFA or USTFCCCA account:*

Membership you are applying for...*

Individual Membership - $60/year
Retired Coach - $30/year

Individual membership - available to any individual cross country or track and field coach, who has on-field coaching responsibilities for developing student-athletes for track and field or cross country, whose school does not have a current Program Membership
Retired Coach Membership - available to individuals who have completed 20 or more years of service as a cross country and/or track & field coach or assistant coach at the high school, junior college, or collegiate level and have retired from the coaching profession

Years of coaching service:

List institutions you coached at...

Current Club or Institution*

If coaching at the college level, please list your current institution

Your Staff Directory page (for position verification)

Your institution's Staff Directory page currently listing you as an active Coach, if applicable.

Select your current coaching category:

Gender you coach:

Position