American Hockey Coaches Association

Time To Pay Your AHCA Dues - REGISTER AND PAY ONLINE
2011-2012 NCAA COACHES MEMBERSHIP

Online Registration is a Two-Step Process:

1. Fill out the registration form below. The information provided will be published in the 2012 AHCA Directory. Please complete this form as completely and accurately as possible.

2. After submitting this form, you will be presented with various payment levels, please choose the appropriate price level to advance to our new secure online payment solution.

NCAA Dues are per school program, not per person. Division I men's and women's programs pay $330 per program ($330 for the men and $330 for the women); Division II-III schools pay $200 per program.

You may also choose to register for the 2012 AHCA Convention at this time. The convention fee for 2012 is $125. It will go up to $150 on March 1.

Division (choose one only):
I
II
III

Institution:

Gender (choose one only):
Men
Women

Mailing Address:
Street Address:
Town/City: State: Zip Code:

Office Phone:
Office Fax:

Staff Information:

Head Coach Name:
Head Coach E-mail:

Assistant Coach Name:
Assistant Coach E-mail:

Convention Registration (Please choose one option below):
If you would like to register and pay your 2012 AHCA Convention fee at the same time, please let us know by choosing a selection below. The convention fee for 2012 is $125. It will go up to $150 on March 1.
I'd like to also register for the convention
I do not want to register for the convention at this time

If Registering for the AHCA Convention, please enter the names of the attendees you will be paying for at this time:

Convention Attendee #1:
Convention Attendee #2:
Convention Attendee #3:
Convention Attendee #4:

Stops and Starts Newsletter (Please choose one option below):
Would prefer to receive our newsletter, "Stops & Starts," electronically, as opposed to a hard copy in the mail?
I'd like to receive Stops and Starts electronically
I'd like to receive Stops and Starts by mail

PLEASE NOTE: Only coaches, as defined by the NCAA, should be included on this form. Equipment managers, athletic trainers, video coordinators, administrative assistants and administrators must join separately as "Allied" members. Those forms must be submitted separately.

If you have any membership questions, contact Kathy Bertagna via ahcahockey@comcast.net.