GEORGIA HIGH SCHOOL SWIMMING
COACHES ASSOCIATION
2008-2009 Membership Application
Name: ____________________________________________________________________
School: ___________________________________________________________________
School Address: ____________________________________________________________
City: _________________________________________	Zip Code: ________________
School Phone: _________________________________	Fax: ____________________
E-mail Address at School: ___________________________________________________
Work Phone (if different): ___________________________________________________
Home Address: ____________________________________________________________
City: _________________________________________	Zip Code: ________________
Home Phone: __________________________________	Home Fax: _______________
E-mail Address at Home: ____________________________________________________

Coaching Responsibility (Check all that apply):	Varsity: ____	JV: ____	7th/8th: ____
Contact Preference (Check all that apply):	School:  ____	Work: ____	Home: ____

Please mail application(s) and an individual $25.00 or coaching staff $40.00 dues check to:

Terry Blish

Marist School

3790 Ashford-Dunwoody, NE

Atlanta, Georgia 30319

(770) 936-2274