Membership Form for 25-26 (Credit Card)
Please complete the form below for a one year membership to AHSFCA. Every member is allowed opportunity to vote for rankings and nominated/vote for player/coach of the year in each division.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
School District
*
Classification
*
1A
2A
3A
4A
5A
6A
Affiliation
Fill in from here down IF YOU ARE PAYING FOR YOUR STAFF, otherwise scroll to the bottom. Assistant Coach Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Assistant Coach Email
example@example.com
Assistant Coach Name
First Name
Last Name
Assistant Coach Email
example@example.com
Assistant Coach Name
First Name
Last Name
Assistant Coach Email
example@example.com
Fill in from here down to complete your form. Membership Type
*
Please Select
Head Coach ($55)
Head Coach + 1 Assistant ($90)
Head Coach + 2 Assistants or more ($115)
Assistant Coach ($55)
Will you be attending the clinic in Little Rock on Jan. 11-12 (Embassy Suites)
*
Yes
No
Have not decided yet
The AHSFCA has several events and activities that go on throughout the year. If you would like to be involved in any of these, please check mark which you would like. Otherwise, if you would not, please mark "Not interested at this time"
*
Golf Tournament Worker (June)
Golf Tournament Planner
Showcase Worker (June)
Showcase Coach (June)
Coaches Clinic Planner
Open to helping any way
Not interested
My Products
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1 Coach
$55.00
$
55.00
Quantity
1
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10
2 Coaches
$90.00
$
90.00
Quantity
1
2
3
4
5
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7
8
9
10
3 Coaches or More
$115.00
$
115.00
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
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