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2019-20 MSTCA Hall of Fame Members
MSTCA Hall of Fame Members: Please fill out all fields which apply to you.
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Email
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Your email
First Name
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Your answer
Last Name
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Your answer
Home Address
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Your answer
Home Address (Apmt #, Unit #, etc)
Your answer
City/Town
*
Your answer
State
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MA
CT
NH
RI
VT
ME
NY
Other:
Zip Code
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Your answer
Cell Phone Number (###.###.####)
Your answer
Home Phone Number (###.###.####)
Your answer
School Affiliation
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Your answer
School Affiliation State
MA
CT
NH
RI
VT
ME
NY
Other:
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Sport(s) You Coach -- please check all that apply
Cross Country
Indoor Track and Field
Outdoor Track and Field
Gender(s) You Coach
Female
Male
Both
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Date of Birth -- the National Federal Liability Insurance requires this field to be filled in by all MSTCA members
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