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 and include it with
the 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 relevant for your head coach(es):
Head Coach #1:  
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 Team Coached:    
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Coach #1 Email: 
Would you like this email address included in our SJISA.org directory?  
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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:    

Head Coach #2:   (If relevant)
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 Team Coached:  
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Coach #2 Email: 
Would you like this email address included in our SJISA.org directory?
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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:    

Athletic Director:  
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 AD Email:   
 Would you like this email address included in our SJISA.org directory?   
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AD Home Phone:      
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AD Cell Phone:         
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AD School Phone:    
Conference for 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.