ICDC Membership

ICDC Membership
Membership Type

$25 Membership per Coach/person
School
Coach of

DanceCheerBoth
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Cell Phone:

Area CodePhone Number
School Phone

Area CodePhone Number
Are you interested in becoming a board member on the ICDC Board?

YesNoMaybe
Please mail payment or Venmo (@ICDC-Idaho). Please include Coaches name and School in comment area with Venmo payment and with mailed payment.

ICDC C/O Katie Williams

1456 West 400 South

Pingree, Idaho 83262
Do you need a receipt for reimbursement from school?

NoYes (if selected a receipt will be emailed to you upon received payment)
Should be Empty: