2023 MHSTeCA Directory Data
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Name of Coach/Member
*
FIRST Name
LAST Name
Membership Payment Method
*
PayPal
PayPal Later (will not be a member until payment clears)
Debit or Credit Card (will not be a member until payment clears)
Check (MHSTeCA) or Cash
Free (first year Varsity Coach ONLY)
If PayPal account used is under a different name than yours, enter here
FIRST Name
LAST Name
Coach's Email
*
example@example.com
Coach's Address
Street Address
Street Address Line 2
City
State
Zip Code
Coach's Home Phone
Please enter a valid phone number.
Coach's Cell Phone
Please enter a valid phone number.
School/Organization
School Address
Street Address
Street Address Line 2
City
State
Zip Code
School Phone
Please enter a valid phone number.
School Fax
Please enter a valid phone number.
Boys High School Coach
Varsity
Varsity Assist.
Junior Varsity
Middle School
Girls High School Coach
Varsity
Varsity Assist.
Junior Varsity
Middle School
DIRECTORY (hard copy sent to you)
*
YES
NO
Please verify that you are human
*
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