2024 ICCAC Summer Series - Registration Form

2025 ICCAC Summer Series - Registration Form
School*
Men/Women*

MenWomen
Team/Individual*

TeamIndividuals
Coach Name*

First NameLast Name
Cell Phone*

Area CodePhone Number
Email*
example@example.com
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
2024-25 Record*

WinsLosses
Weekends of Interest:

Friday, 6/20 - Sunday, 6/22 - (Johnston Community School District - Johnston, IA)Friday, 6/27 - Sunday, 6/29 - (Johnston Community School District - Johnston, IA)Both Weekends
Day(s) Attending - *Please Select All Days Interested*

One (1) DayTwo (2) DaysThree (3) Days
Participation Requirements:

Student-Athlete is eligible to participate if they are:
- Signed to a Letter Intent
- Enrolled in summer classes
- Enrolled full time in previous spring semester
- Enrolled in the upcoming fall semester
*Must have a physical on file
Upload Team Logo*

Browse Files
.JPG or .PNG Cancelof
Thank You!

Your team check for $250 or individual check for $60 can be made out to the Iowa Community College Athletic Conference and sent to:

ICCAC

414 Northwestern Ave. #1

Ames, IA

Once you have your roster selected, please fill out either the Team Participant Form or the Individual Participant form.

If you have any questions, please don't hesitate to contact me at any time.

Thom McDonald

515.460.8081

iccac@iccac.org
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2025 ICCAC Summer Series - Registration Form