MCSA Annual Report
Each member school is required to fill out this form before the Midwinter Meeting. If there are any questions, please email the Commodore of the Conference.
Email address
School:
ex) University of Wisconsin-Madison
Your answer
Membership Status
Team Contact Information
Street Address:
ex) 800 Langdon Street
Your answer
City:
Your answer
State:
Your answer
Zip Code:
Your answer
Team Contact #1
This person will receive the team's MCSA dues bill (Spring and Fall) via email
Name:
Your answer
Email Address:
Your answer
Phone Number:
Your answer
Secondary Phone Number
Your answer
Position
ex) Captain, Commodore, etc.
Your answer
Team Contact #2
Name:
Your answer
Email Address:
Your answer
Phone Number:
Your answer
Secondary Phone Number:
Your answer
Position:
Your answer
Team Advisor Contact
This should be the faculty advisor at your school. S/he should know s/he is in this position for your team.
Name:
Your answer
Email Address:
Your answer
Phone Number:
Your answer
Secondary Phone Number
Your answer
Coach Contact Information
(if applicable)
Name:
Your answer
Email Address:
Your answer
Phone Number:
Your answer
Secondary Phone Number:
Your answer
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