MHSIBCA Online Membership Form
2018-2019 Membership Form

Expires October 31st, 2019

The cost of this membership $36.50 until 11-30-17 after this date it will increase to $52

Name of Coach
Home Address
School Name
City of School
e-mail address
Division (1,2,3,4)
Do you consent to do criminal history background check?
YES   (if not this application will not be accepted)
 New Renewal
Membership Type
 Regular Membership Affiliate Membership
Coaching Level
 Head Varsity Girls Coach Head Varsity Boys Coach Head Junior Varsity Girls Coach Head Junior Varsity Boys Coach Other

  Please Note: This will pay for your membership, but we are still requiring you to submit the completed form. Only your name and school will be posted on our website.

Please note: You do not have to be a member of Paypal to use this service. The total cost to renew this membership will be $36.50. The extra $1.50 will cover the cost of using the PayPal service.