Wisconsin Volleyball Coaches Association

Individual Membership Form

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      Last Name 

      First Name 

Street Address 

                City    State WI MN IL IA MI    Zip

             Phone 

            E-Mail    (WVCA Communicates Over E-mail - Need Complete and Accurate E-Mail)

            School 

          Division  0 1 2 3 4

School Address

                City    State WI MN IL IA MI    Zip

             Phone 

Conference Affliation         WIAA District  0 1 2 3 4 5 6 7

           Coach  Head Varsity Coach Assistant Varsity Coach JV Coach Freshmen Coach Middle School Coach WIAA Official Other      

Print this membership registration form and mail with $25.00 to:

Bob Fenske

W8347 Rocky Road

Portage  WI  53901

If you sign up for the WVCA Coaches Clinic your Membership is included in the Clinic Fee.