District 14 Basketball Coaches Association Registration - 2021-2022
Filling out this form AND sending your payment to Bill Hoover serves as your registration for District 14 Membership for 2021-2022.  Each coach you register is $5.00 and the membership deadline is Dec. 31, 2021.   After filling out this form, you will receive an email confirmation.  We have added the ability to pay online through Paypal or you can still send checks to:

Waverly Jr. High
Attn: Bill Hoover
1 Tiger Drive
Waverly, Ohio  45690

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Email *
School *
Boys/Girls *
Name *
School Street Address *
City
Zip Code
Cell Phone number *
Years of Coaching?
Varsity Record as Head Coach
Assistant Coach #1 Name
Assistant Coach #2 Name
Assistant Coach #3 Name
Assistant Coach #4 Name
Assistant Coach #5 Name
Assistant Coach #6 Name
Assistant Coach #7 Name
Assistant Coach #8 Name
Assistant Coach #9 Name
Assistant Coach #10 Name
A copy of your responses will be emailed to the address you provided.
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