ADA Qualification Applicaton

Karl Remick
03/14/2022
No comments

Select the area where you are interested in bringing in the American Dart League:

First Name

Last Name

Date of Birth

Social Security Number

Address

Address 2

City

State

Zip

Years at the Address

Do you own your Home?

Email Address

Phone 1

Phone 2

Have you ever been an ADA member?

If yes, ADA Membership #

Have you ever played in a dart league?

Highest Level of Education

Have you ever been in business for yourself?
YesNo
Have you even been convicted of a Felony/Driving under the Influence of Alcohol-Drugs/ and or filed for Bankruntcy?
YesNo
If yes, what was the situation:

Are you adding an additional applicant/partner on the agreement?
YesNo
If yes, please fill out the below:
Partner First Name

Partner Last Name

Partner Date of Birth

Partner Email Address

Partner Phone 1

What do you think the essentials are to running a successful American Dart Leagues as an ADA Representative?

When would you be available to take a territory?
30-60 Days60 - 90 DaysImmediately
Are you interested in the COP Or CAP Program?
COPCAP
Addtional Desirable Counties/Areas

I/We do hereby represent that all of the above answers are true and complete to the best of my/our knowledge and belief. I/We recognize that the AMERICAN DARTERS ASSOCIATION, INC. is not in any way obligated to offer a territory to me/us because of this document. I/We acknowledge that any false statement on this application shall be considered sufficient cause to deny further consideration, or to terminate our business relationship at a future time. I/We understand that an inquiry regarding my/our character, general reputation, personal characteristics, mode of living, and financial background may be made as a result of this application and hereby authorize the release of this information to the AMERICAN DARTERS ASSOCIATION, INC

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