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

!

Registration pending — payment needed

One last step — complete your payment. On the payment page, set the quantities exactly as shown below, then pay.

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: