NYSA Membership
Fill out the form carefully for registration
Name
*
First Name
Middle Name
Last Name
Select Program Title
*
Head Coach
Athletic Director
Principal
Booster Club President
Other
School / Team / League Name
*
Size of Roster(s) and Grade(s)/Age(s)
*
For Example: 25 - 7th Grade (12yrs)
Office/Cell #
*
Please enter a valid phone number.
Organization Type
*
School (Private, Public, Christian)
League
NonProfit
Parks & Recreation
Sport
*
Football
Basketball
Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website (optional)
Facebook URL (optional)
Instagram URL (optional)
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NYSA Annual Membership Fee
This membership is available to National and local private, public, Christian schools, including youth nonprofit organizations, teams, leagues, and parks & recreation departments.
$
1,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit Application
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