Team Application

IHSA New Team Application

Zone

Region

Western Region

Hint: Try to match zone and region number with western region

Example : Zone 7 Region 4 would be Western Region 74

University Name

City

State/Prov

Country

Team Email Address

Department Affiliation

Athletic Designation

IHSA teams

Let's spread the word! Student achievement deserves recognition. In order to expand IHSA awareness among our academic communities, we have revised the team application to include recommendations for key resources to contact regarding athletic and student news and updates. This information will be used solely to broaden understanding of the IHSA and its activities within our membership.

Please help us get a leg up in promoting IHSA by providing the name of at least one contact person from your university or college as prompted by the team application. Thank you for your participation!

Coach Information

First Name

Middle Name

Last Name

Permanent Address

City

State/Prov

Counrty

Zip Code/Postal Code

Phone Number

Cell Number

Birth Date

USHJA Account Number(required for Hunter Seat)

Is the coach a college or university employee, paid directly by the school?:

Yes

Does the coach have a prior IHSA account (either as a rider , alumni , coach , etc.)?
If So, please check the yes box Below

Yes

Enter the coach's email address below. If the coach has an IHSA account, please use the email address associated with the account

Email Address

Enter Coach Username

Enter Coach Password

Athletic Director Information

First Name

Middle Name

Last Name

Permanent Address

City

State/Prov

Counrty

Zip Code/Postal Code

Phone Number

Cell Number

Fax Number

Email Address

School Representative Information

First Name

Middle Name

Last Name

Permanent Address

City

State/Prov

Counrty

Zip Code/Postal Code

Phone Number

Cell Number

Fax Number

Email Address

School Correspondence Information

First Name

Middle Name

Last Name

Permanent Address

City

State/Prov

Counrty

Zip Code/Postal Code

Phone Number

Cell Number

Fax Number

Email Address