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Individual Membership Form
Last Name First Name Street Address City State Zip Phone E-Mail (WVCA Communicates Over E-mail - Need Complete and Accurate E-Mail) School Division School Address City State Zip Phone Conference Affliation WIAA District Coach
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. |