NEW YORK STATE 
HIGH SCHOOL HOCKEY COACHES ASSOCIATION
NYSHSHCA

                          2010-11 MEMBERSHIP APPLICATION FORM

TEAM**  

SECTION**   Section I Section II Section III Section IV Section V Section VI Section VII Section IX Section X

DIVISION**   D1 D2

HEAD COACH**  

**Required

Check Here to Renew your membership from last year (all contact information has not changed)

  **New applicants please fill out the following**

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PLEASE LIST ALL ASSISTANT COACHES AND THEIR EMAILS

ASSISTANT 1        EMAIL 1  

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ASSISTANT 3        EMAIL 3  

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