KVA Membership Form
Fill out the form below to submit your Kansas Volleyball Association membership form electronically. If you choose to fill out your form electronically, you will also need to pay with the online PayPal option. The PayPal link can be accessed at the end of the form after you submit it. The membership fee is $27 to pay online.

If you would prefer to fill out the paper version of this membership form and mail your membership form along with a $25 check, you can go to the following link: https://drive.google.com/open?id=1SU0qxsDzmWjxrOBuEVa8UAcn1oXOYp74

If you have questions about KVA membership, you can contact Cathy Foote, KVA Secretary, at cathyfooteffg@cox.net, (785) 539-3887, or (785) 532-8807. If you have questions about this form or online payment, email jason.peters@usd460.org.

Email address *
Name *
Your answer
School *
Your answer
School Address
include street, city, state, and zip
Your answer
School E-mail address *
List "none" if not applicable, or "same" if you have already entered your school e-mail above
Your answer
School Phone
Your answer
Home Address *
include street, city, state, and zip
Your answer
Home E-mail Address *
List "same" if you have the same e-mail for school and home and you entered your e-mail above
Your answer
Home Phone
List "none" if you only use a cell phone
Your answer
Cell Phone
Your answer
Are you a... *
Required
What level do you work with? *
Required
School classification *
Total number of years you have been a head coach in Kansas at the high school level, including the 2018-19 fall season *
Your answer
Total number of career coaching wins
Count only those matches for years you have been a head coach at the high school level in Kansas. Include matches up through the most recently completed season - do not include matches for a season that is currently in progress.
Your answer
Total number of career coaching losses
Count only those matches for years you have been a head coach at the high school level in Kansas. Include matches up through the most recently completed season - do not include matches for a season that is currently in progress.
Your answer
Victory Club Member Level
Select the number of coaching wins you have been recognized for by the KVA. If you have not received Victory Club recognition for a level that you have passed, you can indicate that in a question that follows below.
Victory Club Member Level Year
List the year that you attained the last Victory Club Member level, if known.
Your answer
Have you passed a Victory Club Member level recently for which you have not yet received recognition?
If not, you can skip this question. If so, indicate the Victory Club level(s) that you have achieved and need a certificate for, and the year(s) you achieved those levels.
Your answer
Would you be willing to help with any of the following?
As our association continues to grow and becomes more recognized, there is more work to be done each year. Please check all of the following areas in which you would be wiling to assist the KVA staff.
How are you planning to pay for your membership? *
Comments or questions?
Your answer
A copy of your responses will be emailed to the address you provided.
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