IATC Membership Form

Complete the following On-line Membership Form, Click “SUBMIT”, and send your Membership Fee via postal mail.

*Note: Be sure to include the first and last names of all staff members and individuals that you wish to receive a membership card.

Membership

Individual Membership - $20.00
1A Staff Membership - $35.00
2A, 3A, 4A & College Membership - $45.00

Rod Smith
1901 Perkins Ave
Woodbine, Iowa 51579

Questions or further information contact Rod Smith:
E-mail: rsmith@woodbine.k12.ia.us

Membership Form

School Year *

School *

Classification *

Choose your school's classification, College, or Individual

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Coach Information

Please enter the following information ONE COACH PER LINE (Full Name, Coaching Position(s), Coaching Year(s), Email Address