Enter Name and Home mailing address. ( * - Indicates required field.)

*First Name: *Last Name:
*Street:

*City:
*State:
ALAKAZARCACOCTDEFLGAHIIDILINIAKAKYLAMEMDMAMIMNMSMOMTNENVNJNYNHNMNCNDOHOKORPARISCSDTNTXUTVTVAWAWIWVWY *Zip:

Enter School and Coaching Information.
*School: Coventry HSCromwell HSGlastonbury HSMiddletown HS *Coaching Level: VarsityAssistantFreshmenOther *Years Coaching:
NSCAA Member # Renewal Date:

Note: If you choose not to become a member of NSCAA and your player is ranked one or two in your league they are not eligible for selection to the All-New England or All-American teams. This is a mandate from the national organization.
Check to use School as primary mailing address.

Enter additional contact information.
*Primary Phone:
SchoolHomeMobileOther (xxx)xxx-xxxx Alternate Phone: SchoolHomeMobileOther Primary Fax: SchoolHomeMobileOther Note: Primary phone will display on CSCA website.
*Email:
Check to Hide email when displaying your contact information to other CSCA website visitors.

Choose a valid password.
*Password:(Please use 8 characters.)
*Confirm:(Please confirm your password.)