2025 Government / Municipal Chapter Application Package

Apply to Launch an
AMB Government-Sponsored Chapter

For cities, counties, municipal departments, and government agencies. Complete all required agreements electronically in one place. Your application is reviewed by National HQ and you'll receive a tracking code upon submission.

Chapter Application License & Trademark NDA Non-Compete Data Privacy Document Upload
You will receive a tracking code after submission
1
Application
2
License & TM
3
NDA
4
Non-Compete
5
Data Privacy
6
Documents
7
Review & Sign
AMBL Government / Municipal Chapter Application 2025
Association of Midnight Basketball — Midnight Basketball League Program™ — Government Track
Complete all required fields marked with *. This application is for cities, counties, municipal departments, and government agencies. Headquarters: 28 Geary Street, Suite 625, San Francisco, CA 94108 · (888) 985-8450
Chapter Information
Government Entity
Enter the legal name of the city, county, department, or agency that will serve as the sponsoring government entity.
Program Director / Point of Contact
Legislative / Executive Authorization
Provide evidence that this government entity has been authorized to enter into this agreement. Required within 30 days of submission if not yet complete.
Procurement & Fiscal Information
Program Facility
Law Enforcement Partnership
A law enforcement partnership is required for all AMB chapters. If the government entity IS the law enforcement agency (e.g. police department applying), select the appropriate option below.
Key Program Staff
List key staff who will run or oversee the program. Include title and role. You may add additional staff.
Required Attachments Checklist
Check all items you are including. Upload actual files in Step 6.
Certification & Authorized Signature
By signing below, the authorized official certifies that all information provided is accurate, that this application is made on behalf of the named government entity, and that the entity agrees to comply with all AMB rules, regulations, and code of ethics.
Authorized Official's Signature *
Draw your signature above using mouse or touch
Signature captured
2025 License & Trademark Agreement
Association of Midnight Basketball — Licensor | Government Entity Licensee: You
Authorized Official Signature *
Draw your signature above using mouse or touch
Signature captured
Licensor signature (Association of Midnight Basketball — to be executed by National HQ upon approval)
Reserved — National HQ will execute upon chapter approval
Non-Disclosure Agreement (NDA)
Disclosing Party: Association of Midnight Basketball | Receiving Party: Government Entity / Authorized Official
Authorized Official Signature *
Draw your signature above using mouse or touch
Signature captured
Non-Compete Agreement 2025
Company: Association of Midnight Basketball, Inc. | Government Entity / Authorized Official: You
Authorized Official Signature *
Draw your signature above using mouse or touch
Signature captured
Data Privacy & Portal Use Disclosure
Including Non-Disclosure of Proprietary Information — Association of Midnight Basketball LLC
This Agreement governs your government entity's access to the AMB Portal and your handling of all proprietary information. Scroll through all sections, then provide your printed name, email, and electronic signature below. The obligations in Section 7 (Non-Disclosure) survive termination of this Agreement indefinitely, subject to applicable public records laws.
Acknowledgement & Signature

By signing below, I, as the authorized representative of the named government entity, acknowledge that I have read, understood, and voluntarily agree to bind my government entity to this Data Privacy and Portal Use Disclosure, including the non-disclosure obligations that survive termination indefinitely, subject to applicable public records laws.

Your Electronic Signature *
Draw your signature with mouse or finger
Signed — Data Privacy & Portal Use Disclosure
Supporting Document Upload
Upload all required government attachments from the checklist in Step 1
Upload PDF, Word (.doc/.docx), or image files. Maximum 10MB per file. All files are transmitted securely to National HQ.
Required Documents
✓ Authorization / Resolution Document
✓ Proposed Annual Program Budget
✓ Facility Use Agreement or Letter of Intent
✓ LEO MOU or Letter of Support
✓ Program Plan or Proposal
✓ Signed AMB Code of Ethics Agreement
Optional / Additional
◦ Department organizational chart
◦ Letters of support from community
◦ Crime / community needs data
◦ Prior program reports or evaluations
◦ Any other supporting materials
Drag & drop files here, or click to browse
PDF, Word, JPG, PNG — up to 10MB per file — multiple files allowed
Almost done! Review your complete government application package below before final submission. You cannot make changes after submitting.
Final Certification & Submission
By submitting you confirm all information is accurate and all agreements are understood and binding on the named government entity

Application Submitted!

Your government chapter application package has been received by National HQ.

Your tracking code:

GOV-2025-XXXX

Save this code to check your application status. A representative will contact you at the email / phone provided within 5–10 business days.

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Contact National HQ
📧 m.steadman@midnightbasketballusa.org
📧 amblpinc@gmail.com
📞 (888) 985-8450
🏢 28 Geary Street, Suite 625, San Francisco, CA 94108