NCISAA Membership Information
(PLEASE PRINT CLEARLY and return to NCISAA office with ANNUAL FEES)

NAME OF SCHOOL _________________________________________________________

ADDRESS _________________________________________________________________

ACCREDITATION (SACS, SAIS, ACSI, ACTS)____________________________________

MAIN PHONE _____/_____/___________ Athletic Dept. ____/____/___________

FAX NUMBER _____/_____/___________ E-MAIL _________________________

CONFERENCE ______________________ TEAM MASCOT__________________

TEAM COLORS _________________________________________________________

HEAD OF SCHOOL _________________________________________________________

ATHLETIC DIRECTOR _________________________________________________________
Please include cell phone, home phone, and e-mail.

TRAINER___________________________________________________________________

ENROLLMENT as of September 15: Grades 9-12_______ Grades 7-8_______

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