Page 25 - CHSCA.Issue 1 2019-2020
P. 25

2019-2020 MEMBERSHIP
 Renew early for the 2019-2020 year! Please fill out the bottom of this page, include it with a check for $30.00, which also includes a 1 million dollar liability insurance and send it to: John Fontana, Executive Director, CHSCA, P.O. Box 632, Southington, CT 06489. Make checks payable to CHSCA.
PLEASE FILL OUT COMPLETELY AND CLEARLY! All mailing labels come from these membership cards! Connecticut High School Coaches Association • National High School Athletic Coaches Association High School • College • Junior High School • Retired • Associate Coaches • MEMBERSHIP 2019-2020
THIS YEAR’S INSURANCE INCLUDES EDUCATOR’S PROTECTION PLUS (CLASSROOM COVERAGE)!
MEMBERSHIP FEE OF $ 30.00 INCLUDES MILLION DOLLAR LIABILITY INSURANCE
Name:___________________________________________ School: _______________________________________
Address: _________________________________________ Address: ______________________________________
Town: __________________________ Zip:____________ Town: _____________________ Zip:______________
Home Telephone Number: _________________________ E-MAIL ADDRESS: _________________________
WE MUST HAVE E-MAIL ADDRESSES FOR IMPORTANT COMMUNICATIONS WITH YOU!
Class of Membership: q Junior High School q High School q Retired q College q Associate Sports coaching: please check box below for sport, level, and duties.
 SPORT
HS VARSITY HEAD COACH
HS VARSITY ASST. COACHES
FR
JV
SPORT
HS VARSITY HEAD COACH
HS VARSITY ASST. COACHES
FR
JV
Athletic Director Baseball
Basketball, Boys Basketball, Girls Cross Country, Boys Cross Country, Girls Softball
Football
Golf, Boys
Golf, Girls Hockey Gymnastics Soccer, Boys Soccer, Girls Swimming, Boys Swimming, Girls
Tennis, Boys
Tennis, Girls
Track, Boys
Track, Girls
Volleyball, Boys
Volleyball, Girls
Wrestling
Field Hockey
Cheerleaders
Lacrosse, Boys
Lacrosse, Girls
Trainer
Faculty Manager
PLEASE WRITE IN OTHER SPORT
  Send to: John Fontana, Executive Director, CHSCA, P.O. Box 632, Southington, CT 06489.
 CONNECTICUT COACH • ISSUE 1 – 2019-2020 • PAGE 25
                            
























































   23   24   25   26   27