Application for 2012 Membership in the
South Coast Interfaith Council
Congregation Athletic Association

Purpose: The purpose of the Congregation Athletic Association is to foster fellowship among congregations in the South Coast area through athletic and recreational activities for youth and adults.

Our congregation does hereby apply for 2012 membership in the Congregation Athletic Association of the South Coast Interfaith Council.

Name of Congregation:
Denomination Affiliation:
Name of Pastor(s):
Address of Church::
City, State, Zip Code:
Church Phone:
Church Fax:
Pastor Signature: ____________________________________
Date: ____________________________________
(game schedules and meeting notices will be sent to this person via mail, fax or email)
Athletic Representative or Contact Person:
Representative Address:
City, State, Zip Code
Representative Phone:
Representative Fax:
Representative Email:

Complete then print and sign this form and return to:
South Coast Interfaith Council
759 Linden Avenue
Long Beach, CA 90813
(562) 983-1665 Office Phone
(562) 983-8812 Office Fax
scic@charterinternet.com
www.scinterfaith.org

** This application must be on file at the SCIC office for congregations to participate in 2012 sports.
** Membership Fee is $75 per congregation, per year.  

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