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A D D I T I O N A L   S P O N S O R S

 



 
The IBCA would like to thank the following sponsors:

RENEWAL FORM FOR HEAD HIGH SCHOOL OR  COLLEGE COACHES and THEIR STAFF ONLY 

All others Join here


A head coach is responsible for enrolling ALL coaches in a school system.  This includes Elementary, Jr. High and High School staff.  Each coach must be entered separately below.  All required fields are marked with *.

Indiana Basketball Coaches Association
Membership Application

MEMBERSHIP INFORMATION:
* School:
* Type:
* I am a:
Annual Fees:
$30.00

$15.00   

Active Coaches - includes a one million dollar liability policy

Former Coaches, Officials & News Media. Does NOT include insurance.
* District:         District?
(1, 2 or 3)
* Name:
High School Name:
Address:
City:
State:
Zip:
Phone:
Fax:
* Email:

Enter the Names of ALL Coaches you are renewing for Below.  $30 EACH Coach.

First Name Last Title Email

Please print this form and mail FORM and a CHECK  to:  Renee'Turpa   252 Glendale Blvd  Valparaiso, IN 46383

To PRINT: 1) Use the Print Icon at the top of page (Browser Icon) OR  2) Right Click your Mouse-Right Button-Choose Print.  

   
   
 
 
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