Page 22 - CHSCA Magazine Issue 2, 2019-2020
P. 22

CHSCA Membership – 2019-2020
If you have not already joined 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: 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
MEMBERSHIP FEE OF $30.00 INCLUDES MILLION DOLLAR LIABILITY INSURANCE
Name:_______________________________________________________ School: _________________________________________________ Address:_____________________________________________________ Address: ________________________________________________ Town: _________________________________ Zip: ________________ Town:___________________________ Zip:__________________ Home Telephone Number: _________________________________ E-Mail Address: _________________________________________
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
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
HS VARSITY HEAD COACH
HS VARSITY ASST. COACHES
FR
JV
SPORT
HS VARSITY HEAD COACH
HS VARSITY ASST. COACHES
FR
 JV
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
                          If you have already renewed your membership, please give this form to a non-member.
PAGE 22 • CONNECTICUT COACH MAGAZINE • ISSUE 2 • 2019-2020
 



























































   20   21   22   23   24