NJCDCA Middle & High School States Registration
PLEASE READ ALL BULLETS BELOW BEFORE COMPLETING THIS FORM!!!

* Please complete ONE form for each team entry. Multiple performances will require multiple forms to be completed.
* You cannot make changes to this form once you've submitted. If you need to make changes, please contact Kimberly McGowan directly prior to the first mandatory meeting!
* All questions must be completed before you can advance to the next section of the registration form.
*When this form is complete, a confirmation will be emailed to you. Please print and use the confirmation email as your invoice, and send in with your PO, check, COI, team rosters, and waivers. If a more detailed invoice is needed, please visit the Forms Page on njcdca.com.
** Please Mail Checks/POs, team rosters, Certificates of Insurance (naming the NJCDCA and Brookdale Community College as additional insureds), and individual athlete waivers to Kimberly McGowan, 47 HighFIELD Road, Colonia, NJ 07067. Questions about registration? Please contact Kimberly via email at vinkim96@aol.com
**Please make checks payable to NJCCA. A $100 Late fee will apply if registered after January 17th. No Registrations will be accepted after January 24th. NO EXCEPTIONS.
Email address *
School *
Your answer
School Address *
Your answer
School City *
Your answer
School Zip Code *
Your answer
School Phone Number *
Your answer
Number of Competitors *
Your answer
Number of Alternates *
Your answer
Number of Males *
Your answer
Number of Females *
Your answer
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