Please join us by sending your dues of $25.00 for an individual or $100.00 for the entire basketball staff, which includes both boys and girls. Send your check, made payable to the CPLBCA, to Eugene Henry at Fenger High School, mail run #48.

A $25 late fee ($5 late fee for individual membership) will be added if not paid by January 9, 2009.

Chicago Public League Basketball Coaches Association Membership Enrollment Form

SCHOOL

DATE





BOYS


GIRLS










(  ) Individual $25

(  ) Basketball Staff, $100



Send your check, made payable to the CPLBCA, Eugene Henry of Fenger High School, mail run #48 or 11220 South Wallace, Chicago, Illinois 60628