2017-2018 IHSADA & NIAAA Membership Form
This form will be used to register you as member of the IHSADA, NIAAA, and pay for the 2018 IHSADA State Convention.

2017-2018 marks the 50th Anniversary of the Iowa High School Athletic Director's Association and the IHSADA would like to provide you with a Commemorative 50th Anniversary Jacket to all members attending the 2018 IHSADA State Convention. The jacket is valued at $85.00 value. After all fees are paid, the Commemorative Jacket will be sent to your home address free of charge in a timely manner.

After completing this form, an invoice will be sent to you via email.

The payment be sent to the following address.

Judge Johnston - Athletic Director
Ames High School
1921 Ames High Drive
Ames, IA 50010

Click the following link to find more information regarding NIAAA.

https://goo.gl/jLZFm6

Dual Membership (NIAAA/IHSADA) Registration Deadline: Friday, November 3, 2017.

First Name
Your answer
Middle Initial
Your answer
Last Name
Your answer
District
School
Your answer
Address (School/Office)
Your answer
City (School/Office)
Your answer
State (School/Office)
Zip Code (School/Office)
Your answer
Phone (School/Office)
Example - 515-555-5555
Your answer
Cell Phone
Example - 712-777-7777
Your answer
Conference Affiliation
Your answer
School Email
Your answer
Years as an Athletic/Activities Director?
Your answer
Years belonging to the IHSADA or Another State AD Association?
Your answer
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