United States Specialty Sports Association Insurance Program

Note: There is an additional $10 charge for online processing.
Age Group determined by the age of the oldest child on the team at the time of purchase.

{{policy.sport}} - {{policy.desc}} - {{policy.age}}
Coverage Dates: {{policy.dates}}
Cost: ${{policy.cost}}

{{validation.teamName}}
{{validation.registration}}
{{validation.firstName}}
{{validation.lastName}}
{{validation.address}}
{{validation.city}}
{{validation.state}}
{{validation.zip}}
{{validation.phone}}
{{validation.email}}
Complete items below only if field/facility owner requests additional insured status. Below there are text boxes to add one field/facility owner. If you have more then one field/facility owner, please email requests for additionals to insurance@usssa.com. Make sure you include your team name and payment confirmation number with the additional field information. You will receive this confirmation number after paying online.
{{validation.owner}}
{{validation.owner_address}}
{{validation.owner_city}}
{{validation.owner_state}}
{{validation.owner_zip}}
{{validation.owner_contact}}
{{validation.owner_phone}}
Please complete the missing fields of the form
{{successMsg}}