6616 Lunar Drive
Louisville Ky, 40258
 
MEMBERSHIP APPLICATION
 
2018-2019 Season
 
Print this form, complete it, then mail it to Che Founder at the address above $25.00 per coach up to three coaches. 4 or more coaches $100 per school.
 
School: ________________________________
 
School Address: ________________________________________    
 
City: _____________________     State: _______     Zip Code: ____________
 
School Telephone Number: _______________________
 
 
Head Coach: _________________________________
 
Telephone Number: ___________________________
 
Email Address: _____________________________________
 
 
Assistant Coach: _________________________________
 
Telephone Number: ___________________________
 
Email Address: _____________________________________
 
 
Assistant Coach: _________________________________
 
Telephone Number: ___________________________
 
Email Address: _____________________________________
 
 
If you need additional space please complete another application with the additional names on it.
Make Checks Payable to KWCA.

KYWCA MEMBERSHIP FORM