WISCONSIN FOOTBALL COACHES ASSOCIATION MEMBERSHIP FORM

If attending the clinic or renewing up your entire staff, please use the clinic registration form.

I.  CHECK AS APPROPRIATE

[ ] ATTENDING 2008 WFCA CLINIC 
    (REGISTRATION FEES INCLUDED WITH THIS 2008-09
    MEMBERSHIP FORM AND FEES)
[ ] NEW MEMBERSHIP
[ ] RENEWING MEMBERSHIP FOR CURRENT YEAR
[ ] CHANGE SCHOOL
[ ] CHANGE HOME ADDRESS
                        ___________________________
                        (OFFICE USE ONLY) [        ]

II.	MEMBERSHIP CATEGORY/FEE (CHECK ONLY ONE):

[ ] $40.00  		ALLIED/ASSOCIATE MEMBER
[ ] $40.00/$30.00  	COLLEGE COACH		[ ]HEAD     [ ]ASSISTANT
[ ] $40.00/$30.00 	SENIOR HIGH COACH       [ ] HEAD    [ ]ASSISTANT
[ ] $20.00  		YOUTH COACH

Ill.  INFORMATION (PLEASE TYPE OR PRINT CLEARLY)

SCHOOL: _______________________________________________________

SCHOOL ADDRESS: _____________________________________________

CITY/STATE/ZIP: ________________________________________________

CONFERENCE: __________________________________________________

MEMEBER NAME: _______________________________________________

HOME ADDRESS: ________________________________________________

CITY/STATE/ZIP: _________________________________________________

PHONE: __________________________________________________________

E-Mail: __________________________________________________________

COMPLETE SECTIONS I, II AND III OF THIS FORM 
AND MAIL WITH PAYMENT TO:

SEND TO:  WFCA Office, P.O. Box 8, Poynette, WI  53955

QUESTIONS:  Call Charna at 608-635-7375.

	MAKE CHECKS PAYABLE TO WFCA

    WFCA MEMBERSHIP EXPIRATION DAY BEFORE SPRING,2007.
    TO QUALIFY FOR WFCA AWARDS MEMBERSHIP MUST BE
    RECEIVED NO LATER THAN SEPTEMBER 1, 2008.