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Membership Application

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Name*
Mailing Address*
City*
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Preferred Phone*
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School Affiliation*
Head of School Name*
Head of School Email*
School Mailing Address*
City*
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Zip*
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Website Address*
School Type*
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- Both
Grades*
- <3 years old
- Early Childhood (3 years-K)
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Please choose membership level*
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$0.00
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- I prefer to pay by check
Please enclose check payable to “ISCA” with this application form and mail to:

Ms. Bethany DiNapoli, Executive Director, ISCA
287 Gibbs Avenue
Newport, RI 02840

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