PIEA Membership Registration

School *

School District *

School Address *

Address Line 2

City *

State *

Zip Code *

Do you have an official esports club, team or program at your school? *

Yes

No

Other Other

Team Manager/Advisor Contact:

First Name *

Last Name *

Title *

Email Address *

Phone Number *

Would you be interested in being a member of the PIEA Member Advisory Board? *

Yes

No

Need more information Need more information

Terms and Conditions *

You consent to receive communications from us electronically. We will communicate with you by e-mail or phone. You agree that all agreements, notices, disclosures and other communications that we provide to you electronically satisfy any legal requirement that such communications be in writing.

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