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Membership Registration Form

If you think you have an account and would like to renew please LOGIN to the site.

We can only accept credit cards through this on-line form.
If you choose to continue, please note there is a 2.9% + $ .30 credit card processing fee.

You can also join NYS AHPERD by calling our toll-free number: 1-877 473 7398.

Or, you can click here to download, print out, and mail in a paper copy of the membership form.

* Required fields

Personal Details (all applicants)
Students must select their home address.
Home Address (all applicants)
County Map
ex: 999-999-9999
ex: 999-999-9999
Work Address (for students, school address)
County Map
ex: 999-999-9999
Zone Affiliation

Please choose your Zone affiliation based on either your home county or work county listed above.

Zone Map
Membership Level


Students: Year of Study

To allow us to better meet the needs of our NYS AHPERD Membership, at no additional cost please check the three areas below that are of MOST interest to you OR select as many areas as you like for an extra $5.

Council of Administrators membership

Council of Administrators membership is open to persons with an officially appointed, direct administrative responsibility for PE, Health, Recreation or Dance - there is an extra $25 fee for this section.
Payment Details