Membership Application

TDI Collegiate Team

Membership Application 2010-2011

Team Information:

Team Name*:

School/Studio/Organization Name*:

Head Coach Name*:

Head Coach Email Address*:

School/Organization Mailing Address:

Street Address*:

City*:

State*:

ZIP*:

Phone*:

Fax:

Website Address:

Division:

Team Delcared Size*

(Include alternates)

Do you have any males on your

team?

Number of Managers (a manager

is student who assists the team but does not perform. A manager is not a coach)

Head Coach Information:

Are you seeking a Coaches

Association Membership?

Preferred Mailing Address:

Street Address*:

City*:

State*:

ZIP*:

Cell Phone*:

Work Phone*:

Number of years coaching:TDI Member (Team OR Coach) Since*:

Nametags are re-issued every three (3) years and are updated yearly with stickers that are affixed to the nametag. Replacement tags are $10 each.

If you are an existing member in need of a replacement nametag this year please

mark the box below

Assistant Coach #1 Information:

Assistant Coach #1 Name:

Assistant Coach #1 email:

Are you seeking a Coaches

Association Membership?

Preferred Mailing Address:

Street Address*:

City*:

State*:

ZIP*:

Cell Phone*:

Work Phone*:

Number of years coaching:

Please click on one of the following links:

Assistant Coach #2 Information:

Assistant Coach #2 Name

Assistant Coach #2 Email:

Are you seeking a Coaches

Association Membership?

Preferred Mailing Address:

Street Address*:

City*:

State*:

ZIP*:

Cell Phone*:

Work Phone*:

Number of years coaching:

Please click on one of the following links:

Assistant Coach #3 Information:

Assistant Coach #3 Name:

Assistant Coach #3 Email:

Are you seeking a Coaches

Association Membership?

Preferred Mailing Address:

Street Address*:

City*:

State*:

ZIP*:

Cell Phone*:

Work Phone*:

Number of years coaching:

Thank you for your membership in TEAMDance Illinois!

Please read the following CAREFULLY before you click “submit”.

You will receive a confirmatory email from TDI Membership within 72 hours with:

Your assigned TEMPORARY membership number(s)

Invoice for payment

Membership Checklist (currently found on the website under "FORMS")

Consent and Release forms (these are also currently found on the website under “FORMS”)

Team Eligibility and Coaching Rosters (these are also currently found on the website under “FORMS”)

Receipt of your TEMPORARY membership number does not mean your membership is complete. Application is NOT considered complete and will not be posted as complete until all of the above documentation is received and verified by TDI Membership.

IMPORTANT NOTES:

1. All membership mailings and payments should be addressed to:

TeamDANCE Illinois

ATTN: Membership

215 Fulton St.

Geneva, IL 60134

2. Please help us manage your paperwork efficiently. If at all possible, please send ALL materials in together (consent/release forms, rosters and payments). A $40.00 processing fee will be charged for submission of incomplete membership materials.

3. In order to get proper and prompt credit for payment, ALWAYS put your team name in the memo of your checks or request your school administration to do so, ESPECIALLY if a check is being cut from your district and if there are multiple schools in with teams in your district.

4. Keep copies of all correspondence regarding membership and redeclarations with you at all contests for verification.

Click on the logo to return to the main site.

Captains Name

Captains Email Address:

Please click on one of the following links: