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KSRA New Member Application

Note: If you would rather mail in your form, please print this membership form (PDF | word document).


Benefits of KSRA/US Squash Memberships
• One year subscription to Squash magazine	• Inclusion in KSRA Ladder
• Eligible to play in US Squash National Championship	• Inclusion in Metro League
• Eligible for national ranking	• Reduced tournament entry fees

Membership Options for 1/1/2012 to 12/31/2012 (will prorate into 2013):

KSRA Membership Dues (includes US Squash Membership):
Adult Annual ($60) Junior Annual ($50)

First Name:

Last Name:

Address:

Address (cont):

City: State: Zip:

Gender:

Male Female

Birthday:

(e.g. mm/dd/yyyy)

Home Phone:

Work Phone:

Mobile Phone:

Fax:

Email:

Division:

Your squash club: