Beach Club Application

Club Name*

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Juniors

Beach

Club Director*

Club Address*

Street Address City State / Province / Region Postal / Zip Code

Club Director Email*

Club Director Phone*

Area Code

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Phone Number

Club Website*

Are there additional contacts?*

Yes

No

Additional Contact 1 Name

First

Last

Additional Contact 1 Phone

Area Code

-

Phone Number

Additional Contact 2 Name

First

Last

Additional Contact 2 Phone

Area Code

-

Phone Number

Are there board members?*

Yes

No

Board Member 1 Name

First

Last

Board Member 1 Position

Board Member 2 Name

First

Last

Board Member 2 Position

Board Member 3 Name

First

Last

Board Member 3 Position

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OKRVA

Beach Club Application

Board Meeting – February 2, 2025 – 5pm Online (please contact Region office for info)

Safe Sport Reporting

Important to Know…

OP2 13-1 EP – 2023 National Champions (13 USA)

OKRVA Youth – 2023 USAV All-Star Champions

Coach Jason Butch (OK Charge – 18 PAL) – 2023 Rebecca B. Howard Diversity & Inclusion Award Recipient

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