NATA Atrack New Student Member Application

Please complete the application in full and press the SUBMIT button at the bottom of this form. Please allow up to 3 business days for processing.

Personal Information

(must include to receive receipt of your payment)
Have you been a member of NATA previously?
(if applicable)

School Information


Additional Demographic Information

For committee/volunteer work please indicate areas of interest or expertise

Please answer, under oath and penalty of disqualification: Have you ever been convicted of a felony?

Payment Information

Credit Card Information
(use mm/yyyy format)

Communication Preferences

Pricing Chart

I authorize to charge my credit card (or invoice my school) according to the following dues structure, based on my address [entered above].
AK, ID, MT, OR $104.00
IL, IN, MI, MN, OH, WA, WI $109.00
MD, NC, SC, WV, Dist of Col. $112.00
AL, AR, FL, GA, IA, KS, KY, LA, MO, MS, ND NE, OK, SD, TN, TX, Puerto Rico, Virgin Islands $114.00
CT, DE, MA, ME, NH, NY, PA, RI, VT, American Samoa, Guam $119.00
NJ $124.00
VA $137.00
AZ, CA, CO, HI, NM, NV, UT, WY $139.00
By submitting this form using the button below, I adhere to the following statements:
  • By submitting this form,  I pledge to abide by NATA's bylaws, policies and procedures, membership standards, code of ethics, and other rules and regulations. View these documents online. I understand violations may subject me to disciplinary action as outlined in the Membership Standards.
  • Credit Card Disclaimer.  I authorize NATA to charge my credit card.  If I close this account prior to this indebtedness being satisfied, I will notify NATA’s membership department of the specifics of my new account or how the outstanding balance will be paid.  I understand that if I fail to meet my payment obligation to NATA, my membership will lapse.
  • Payments or contributions to the National Athletic Trainers' Association are not deductible as charitable contributions for federal income tax purposes. Payments may be deducted as a business expense. If in doubt, please consult your tax advisor. NATA will not discriminate against any individual on the basis of religion, sex, ethnic background, or physical handicap. 11.8% of dues are allocated for lobbying.