SJISA Membership Information & Dues Form
In addition to submitting this form by clicking the button at the bottom
when it is complete,
please print out a copy FIRST before submission
and include it with your dues payment sent to:

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SJISA, Inc.
400 Griers Lane
Pittsgrove, NJ 08318

.Name of your school: 

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School Address:            
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School Phone: 
           

Fill in the information below relevant for ALL of the swim coaches
at your school:
Name of Coach #1:          
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Team(s) Coached:            
Type of Coach:                  
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Coach #1 Email:               
 
Would you like this email address included in our SJISA.org directory?  
.
Coach #1 Address: 
           
.
                                              
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Coach #1 Home Phone:    

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Coach #1 Cell Phone:        
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Coach #1 Work Phone:     

If applicable --

Name of Coach #2:             
 

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Team(s) Coached:              
Type of Coach:                   
.
Coach #2 Email:     
          
Would you like this email address included in our SJISA.org directory?
.
Coach #2 Address: 
          
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Coach #2 Home Phone:  
 
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Coach #2 Cell Phone:       
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Coach #2 Work Phone:    

If applicable --
Name of Coach #3:
          
.
Team(s) Coached:             
Type of Coach:                  
.
Coach #3 Email:               
 
Would you like this email address included in our SJISA.org directory?  
.
Coach #3 Address: 
           
.
                                              
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Coach #1 Home Phone:    

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Coach #1 Cell Phone:        
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Coach #1 Work Phone:     


Athletic Director:
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AD Email:           
Would you like this email address included in our SJISA.org directory?              
..
AD Home Phone:  
   
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AD Cell Phone:         
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AD School Phone:    
Conference/league of your swim team: 
 
Your NJSIAA GENERAL Classification:  
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Dues are $50 per school, NOT per swim teams at your school.
Please print this out BEFORE clicking SUBMIT below and
include the printed copy with your mailed payment.