District 14 Basketball Coaches Association Contact information
Filling out this form AND sending your check to Bill Hoover at the address listed below serves as your registration for District 14 Membership for 2019-2020. Each coach you register is $5.00 and the membership deadline is Dec. 31, 2019. After filling out this form, you will receive email confirmation -send checks to:

Waverly Jr. High
Attn: Bill Hoover
1 Tiger Drive
Waverly, Ohio 45690
Email address *
School *
Boys/Girls *
Name *
Your answer
School Street Address *
Your answer
City
Your answer
Zip Code
Your answer
Cell Phone number *
Your answer
Years of Coaching?
Your answer
Varsity Record as Head Coach
Your answer
Assistant Coach #1 Name
Your answer
Assistant Coach #2 Name
Your answer
Assistant Coach #3 Name
Your answer
Assistant Coach #4 Name
Your answer
Assistant Coach #5 Name
Your answer
Assistant Coach #6 Name
Your answer
Assistant Coach #7 Name
Your answer
Assistant Coach #8 Name
Your answer
Assistant Coach #9 Name
Your answer
Assistant Coach #10 Name
Your answer
A copy of your responses will be emailed to the address you provided.
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