NSDA Power of ONE New Member Form

Thank you for taking part in our Power of ONE campaign. We're excited about your potential membership. Please fill out the form below. By filling this out, you certify that you are a designated representative of the school in question who will serve as the responsible party (advisor) for that NSDA program, and that the administrator named below approves this petition for membership.

Your Name*
First Last
Your Email*
Official School Name*
School Level*
- High School
- Middle School
State*
Preferred NSDA District (if known)
(applicable to high schools only)
School Website URL*
Total School Enrollment*
School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Address
Complete this section only if you’d like to use a home address as the primary mailing address for your school.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
School Phone*
Your Cell Number
Bookkeeper Name (optional)
First Last
Bookkeeper Email (optional)
Principal / Head Administrator Name*
First Last
Principal / Head Administrator Email*
How did you learn about the Power of ONE campaign?
Referring Coach Name*
First Last
Referring Coach School*

NSDA Power of ONE New Member Form

How did you learn about the Power of ONE campaign?