TSC Team Membership Application Form

Please print out this form, complete, and mail to the TSC secretary along with

a check payable to: Texas Senior Circuit.

Team name: ___________________________________________________

Team code: ___________________________________________________

Coach's name: _________________________________________________

Date of application: _____________________________________________

For the year _____________ swim season.

Mailing Address: _____________________________________________

_____________________________________________

Phone Number: _____________________________________________

E-Mail Address: _____________________________________________

Cost of membership is $50 per year (January 1st-December 31st).

Please mail membership form to:

Chris MacCurdy, ATAC

TSC Treasurer

P.O. Box 802312

Dallas, TX 75380

Contact information for Chris MacCurdy:

Work Number: (972) 788-2467

Fax Number: (972) 233-5255