2011-2012 SCIBCA MEMBERSHIP APPLICATION

Membership good from August 1, 2011 - July 31, 2012

Please provide the following contact information:

School
League     Boys  Girls

CIF Playoff Division

Last Name		First Name

Home Address

City		Zip

Home Phone		Cell Phone
Email Address

COACHES RECOGNITION  & AWARDS PROGRAM

Number of Years Coaching (any level)	Total Number of Varsity Wins

STAFF APPLICATION

Asst. Coach		Total Years Coaching
Asst. Coach		Total Years Coaching
Asst. Coach		Total Years Coaching
Asst. Coach		Total Years Coaching

****ADDITIONAL COACHES AT $20.00 EACH****

Asst. Coach		Total Years Coaching
Asst. Coach		Total Years Coaching
Asst. Coach		Total Years Coaching
Asst. Coach		Total Years Coaching

Would you like:

to be included in the SCIBCA Phone Directory*	Yes No
to be included in the e-mail Directory*	Yes No
to be a voting member of the Weekly Top Ten Poll	Yes No
to be considered as a member of the All-CIF Selection Committee	Yes No
participate in SCIBCA Classic (Fee: $175.00)	Yes No

*This valuable directory will be sent to you via email.

MEMBERSHIP FEES 

Head Coach Membership (1 person) @ $50.00 Staff Membership (covers up to 5 coaches) @ $125.00 Additional Assistants (beyond 5 coaches) are an additional $20.00 each