IBCA Member Registration

Register yourself and as many coaches from your School/Organization as you would like. Each coach can also be signed up for the IBCA Statewide Clinic here.

Membership — $10 per coach (required for every coach) Statewide Clinic — +$40 per coach (optional)

Coach Contact Info

Please start by filling out the first coach's name — the person completing this registration.

First Name *

Required

Last Name *

Required

Email *

Valid email required

Confirm Email *

Emails must match

Mobile Phone Number *

Required

Program Gender *

Required

Coaching Position *

Required

I will attend the IBCA Statewide Clinic (+$40)
Adds one Statewide Clinic admission for you. Click here for Clinic details!

Organization Info

Tell us about your program.

Program Level

School/Organization Name

Street Address *

Required

City *

Required

State/Region *

Required

Postal Code *

Required

IHSA Legislative Division * NOT SURE? Click Here!

Required

Additional Coaches

Add every additional coach you're registering — the $10 membership applies to each coach added (up to 15 additional coaches). Check the clinic box for any coach attending the Statewide Clinic (+$40).

Membership Payment Options *

How would you like to pay?

Pay Online via Credit/Debit Card
Includes $1 processing fee per coach. You'll be taken to our secure payment page after submitting. Mail a Check
Memberships will be pending until payment is received.

1 coach × $10

$10total due

!

PLEASE READ CAREFULLY: Your registration is pending until you pay on the next page.

The information below is what you will need to set the quantities on the next page.

Item on payment page	Set quantity to	Amount
IBCA Membership ($10)	–	–
Online Processing Fee ($1)	–	–
IBCA Statewide Clinic ($40) — click "+ Add", then set quantity	–	–
Your total		–

Your registration isn't complete until payment is received. Please make sure the total on the payment page matches $0.

Important: On the payment page, pay using the same email address you registered with — . We've pre-filled it for you; please don't change it. Paying under a different email may delay your membership access.

Pay Now —

Please mail a check for to:

Memberships will be pending until payment is received.

Coaches registered: