MHSIBCA Online Membership Form
2014-2015 Membership Form

Expires October 31st, 2015

The cost of this membership $36.50 until 11-30-14 after this date it will increase to $52
Name of Coach
 
School Name
 
City of School
 
Conference
 
Home Phone #
Cell Phone #
Email Address
 

Division # (1,2,3, or 4)

 

Do you consent to do criminal history background check?
 YES   (if not this application will not be accepted)
Membership
 New Renewal
Membership Type
 Regular Membership Affiliate Membership
Coaching Level
 Head Varsity Girls Coach Head Varsity Boys Coach Head Junior Varsity Girls Coach Head Junior Varsity Boys Coach Other
 

Please note: You do not have to be a member of Paypal to use this service. The total cost to renew this membership will be $36.50. The extra $1.50 will cover the cost of using the PayPal service.