Membership Application

Your $5.00 Membership is Valid from August 2003 to August 2004

 

Name ___________________________________________________      

Address__________________________________________________

City___________________________  State_________  Zip________      

Primary Phone (_____)____________ __    Alternate Phone (_____)________________   

Email  _____________________________  Email 2  _____________________________

 Please complete either section 1 for school teams or section 2 for club teams, also circle

your level of coaching certification in section 3.

 1.  School Name___________________________     Conference  ______________________    

     Circle:   High School / College            Circle:  Boys / Girls            

     AD Name_________________________      AD Phone _________________________           

           

2.  Club Name ____________________________   Age _________   Circle:  Boys / Girls

     Circle Affiliation:  WYSA     WASA    YMCA   Other ___________________________

3.  Circle Your Level of Coaching Certification

     USSF:        State  G   E   D       Youth Level    I    II    III             National   C    B    A

     NSCAA:    State        Regional           National       Advanced National      Goal Keeper

Send Check & Application to:  WSA

                                      WSCA Membership Attn. Jenny

                                      10708 West Hayes Ave.

                                      West Allis, WI  53227

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 The WSCA depends upon volunteers to run all its programs. Please consider helping with some of the following activities and then circle all items that you are interested in.

 

  1. WSCA contact person for the coaches in your club affiliation
  2. Your High School Conference WSCA Contact person
  3. Serve on the WSCA Board for 3 years
  4. Work on WSCA committees for: 

             YOUTH       HIGH SCHOOL       COLLEGE           ADULT

  1. Work on communications: writing articles on soccer in your area and/or coaching exercises for different age groups.