Membership Application

2010-2011 Membership Application

Complete and print from your computer and mail to address below

School year of Application: If, you are an up-to-date member, your number:

Your first name: Your last name: Your Gender:

Your Full Mailing Address: Mailing City: Zip:

Your Phone Number (Including Area Code) Email Address:

Amount you are paying - Send $35.00 to the MHSSCA c/o David Hulings, PO Box 244, Fruitport, MI 49415

School Where You Coach: Gender You Coach: Level (Var./JV/Frosh.):

2^nd School you may Coach: Gender of 2^nd School: 2^nd Level :

Print this form and mail to David Hulings, PO Box 244, Fruitport, MI 49415

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