NENSA Club Registration Form

NENSA Club Registration Form

2006-2007

NENSA Club Requirements

· At least five members

· Contact information provided

· $25.- registration fee *

* No fee for BKL Clubs

* The registration fee will be waived if a club hosts a NENSA-sanctioned event open to the public.

Please contact info@nensa.net if you have any questions regarding this form.

For help sanctioning an event, contact NENSA's Program Directors.

CLUB NAME _________________________________________

CLUB WEB SITE ______________________________________

Club Contact

Name ____________________________ Phone__________

E-mail___________________________

Address____________________________ Town__________State_______Zip_________

Club Description:

Costs, Qualifications, etc:

This form should be returned with:

· A $25.- club registration fee OR a completed Event Sanction form. If you have questions on event sanctions, please contact NENSA Program Directors

· Additional sheets describing Club development programs, if appropriate.

Please return these materials to:

NENSA
New Gloucester Hall
49 Pineland Dr., Suite 301 A
New Gloucester, Maine 04260
Phone: (207) 688-6503