WVATA Membership
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Email *
Date *
MM
/
DD
/
YYYY
First and Last Name *
Credentials (Degrees, Licenses, Certifications)
Board of Certification # (if Applicable)
Athletic Trainer License # (if Applicable)
Job Setting (Select All That Apply) *
Required
Address *
City *
State *
Zip Code *
Membership Categories *
Donations: To help enhance the practice advancement and profession of athletic training in the state of West Virginia.
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