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Camden Health & Athletic Association (CHAA) Membership Form
1
Organizational Info
2
Areas of Program Operation
3
Program Operation
4
Demographic Info
5
Website and Social Media
6
Staff Information
7
Secondary Contact(s)
8
Additional Info
Organizational Info
First Name
*
Last Name
*
Email Address
*
Phone Number
*
Name of Organization
*
Organization Address
*
City
*
State
*
Zipcode
*
Areas of Program Operation
Program Address
*
City
*
State
*
Zipcode
*
Program Operation
Check the boxes of sports your organization provides
*
Aquatics
Baseball
Basketball
Cheerleading
Field Hockey
Football
Golf
Hockey
Lacrosse
Soccer
Softball
Tennis
Track and Field
Volleyball
Wrestling
Demographic Info
Number of Youth Served Annually
*
Youth Grades/Age Ranges Served
*
Website and Social Media
Instagram Handle
Facebook Link
Organization Website Link
Staff Information
Name
*
Email Address
*
Phone Number
*
Secondary Contacts(s)
Name
Email Address
Phone Number
Additional Info
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HP Name
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Email
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HP Name
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