15 Team Wrestling Program

A SPECIAL INVITATION TO JOIN NJSCA: BENEFITS
*Insurance
*Membership in NFHS Coaches Association - The National Organization
*NJSCA magazines
*Reduced costs at clinics
*Eligibility for NJSIAA and NJSCA Sports Committees
*Consideration for NJSCA Hall of Fame recognition
New Jersey Scholastic Coaches Association
1161 Route 130 North, P.O. Box 487, Robbinsville, NJ 08691-0487
(609) 259-2776 www.njsiaa.org
INDIVIDUAL MEMBERSHIP APPLICATION
OCTOBER 1, 2013 - SEPTEMBER 30, 2014
Name: ___________________________________ Work Phone: __________________
School: ___________________________________ Fax #: _________________________
School Address: _____________________________ Email: _________________________
_____________________________
_____________________________ Are you interested in serving on NJSIAA
Conference: _____________________________ and/or NJSCA Committees (Please X)
Home Address: _____________________________ _____ NJSIAA Sport Committee
_____________________________ _____ NJSCA State Board of Coaches
Home Phone: _____________________________ _____ NJSCA Clinic Committee
Do you teach in the district (circle)Yes / No Send information to: (circle) Home/School
BOYS or GIRLS SPORT COACHED SCHOOL/ORGANIZATION LEVEL # OF YRS.
(present only)
(V, JV, FR)
1._________ ______________ _____________________ ______ ________
2._________ ______________ _____________________ ______ ________
3._________ ______________ _____________________ ______ ________
PLEASE ENCLOSE YOUR CHECK FOR $30.00 PAYABLE TO NJSIAA/NJSCA.
Return to: NJSCA NOTE: 10 or more coaches from same
PO Box 487, 1161 Route 130
school district membership is
Robbinsville, NJ 08691-0487
reduced to $25.00 per coach.
I hereby apply for membership for the 2013-2014 school year.
Signature: ________________________________ Date:____________________________
FOR OFFICE USE:_________________________________________________________________________