2023-2024 KTCCCA Membership Application
**PLEASE READ THIS BEFORE YOU BEGIN**

IF YOU WANT TO PAY BY CREDIT CARD REGISTER HERE:

https://www.ktccca.com/registration

KTCCCA Membership is effective from August 1 through July 31. After July 31, your KTCCCA membership is not active and all coaches must reapply.

Complete the following form in lieu of the paper form in years past. Once you submit the Google Form, you will receive confirmation of the submission as well as an email with an invoice to submit payment. You will also be emailed a membership card for you to print for the season!

The membership fee remains $50. Once you submit this questionnaire, you can send your check to:

KTCCCA
1106 Sycamore St.
Falmouth, KY 41040

KTCCCA Membership required for KTCCCA Coach of the Year consideration, for team’s participation in Meet of Champions, Indoor State Championship, and Middle School State Championships.

The fee for the coaching clinic in January is included in the membership

Membership includes 2023-2024 Subscription to KYTRACKXC.COM if requested.

Let's be honest, $50 is an absolute STEAL!

If you have any questions about the application, contact Chris Hawboldt at kymilesplit@gmail.com or Tim King at teejayking@gmail.com.
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Email *
First Name *
Last Name *
School Name
Address (School address if you plan to pay for membership through school account) *
City, State (School City, State if you plan to pay for membership through school account) *
Zip Code (School zip code if you plan to pay for membership through school account) *
Phone Number *
Birthday *
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