Annual MSRA Member Team Registration
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Email *
Name of person completing this registration *
Primary Contact Phone *
Team Website url (if none, please reply "none") * *
High School your team represents *
Midwest Sub-Region your team belongs to *
Is your team classified by your school as *
Team Composition *
Women's Team Composition *
Approximate number of Varsity / JV Women *
Approximate number of Novice Women *
Men's Team Composition *
Approximate number of Varsity / JV Men *
Approximate number of Novice Men *
How many coaches does your program have? *
Director / Head Coach Name *
Director / Head Coach E-mail *
 Director / Head Coach Cell *
Women's Team Head Coach Name
Women's Team Head Coach E-mail
Women's Team Head Coach Cell
Men's Team Head Coach Name
Men's Team Head Coach E-mail
Men's Head Coach Cell
Please add any other e-mail addresses that you would find helpful to be on the MSRA Members Distribution List (lead parent rep, booster President, etc)
Do you or any coaches from your program have any interest in serving on the MSRA Board in the future. If so, please list name(s) below and best contact e-mail.
If any of your coaches are USR certified, please list their names and level as follows: John Snow (Level 1), Hermione Granger (Level 2) and so on....Please put N/A if no one your staff is certified. *
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