NSSA Membership Form

Membership Fee $32.00


Name

Address

City State Zip

PhoneAge(1/1/97)

BirthdateDivision

Send Check or Money Order To

NSSA

2462 SE Federal Hwy.

Stuart Fl. 34994


Division

Age

Mini-groms

10 & under

Menehuene

12 & under

Boys

13-14

Junior

15-17

Men

18-24

Masters

25-34

Sr Men

35-44

Women

all ages

Longboard

all ages

Bodyboard

all ages

Open Mens

16 and up in School

South Fl NSSA HomePage