2019 -2020 KTCCCA Membership Application
**PLEASE READ THIS BEFORE YOU BEGIN**

KTCCCA Membership is effective from August 1 through July 31. After July 31, your KTCCCA membership is not active and all coaches must reapply.

Complete the following form in lieu of the paper form in years past. Once you submit the Google Form, you will receive confirmation of the submission as well as an email with an invoice to submit payment. You will also be emailed a membership card for you to print for the season!

The membership fee remains $50. Once you submit this questionnaire, you can send your check to:

Tim King
1106 Sycamore St.
Falmouth, KY 41040

KTCCCA Membership required for KTCCCA Coach of the Year consideration, for team’s participation in Meet of Champions, Indoor State Championship, and Middle School State Championships.

The fee for the coaching clinic in January is included in the membership

Membership includes 2019-2020 Subscription to KYTRACKXC.COM and USATF Membership if requested.

Let's be honest, $50 is an absolute STEAL!

If you have any questions about the application, contact Chris Hawboldt at kymilesplit@gmail.com or Tim King at teejayking@gmail.com.
Email address *
First Name *
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Last Name *
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School Name
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Address (School address if you plan to pay for membership through school account) *
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City, State (School City, State if you plan to pay for membership through school account) *
Your answer
Zip Code (School zip code if you plan to pay for membership through school account) *
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Phone Number *
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Birthday *
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