NCDA Membership Registration Form-2024
All Members of National Collegiate Dodgeball Association, Inc must fill out the short form below.

This form will be used to register our Members, compare game rosters with student registration status, and act as an acknowledgement to the policies of National Collegiate Dodgeball Association, Inc. Your contact information is secure. The NCDA will never sell it. The NCDA will not share it outside of administrative staff or the player's school staff.
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First Name *
Middle Initial
Last Name *
Date of Birth *
ARE YOU SURE THE YEAR IS CORRECT?
MM
/
DD
/
YYYY
 What gender do you identify with? *
What high school did you graduate from?
Please self-identify your race *
Phone Number *
xxx-xxx-xxxx
Email Address *
Street Address *
City *
State *
Zip Code *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Email *
Emergency Contact Relationship (Parent, Spouse, etc.) *
Member Team Affiliation *
Which institution are/were you registered with?
Primary Membership Status *
What will be your primary role in the NCDA?
I agree to the following terms and policies: *
By checking the boxes below, you hereby agree to the terms and policies of National Collegiate Dodgeball Association, Inc.
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