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Coaching Education Program Registration Page

Course
Cost
U6 Youth Module
$15
U8 Youth Module
$15
U10 Youth Module
$15
U12 Youth Module
$15
E Certificate
$75
D License
$130

    
Coaching Educational Series

Course(s)
Date Scheduled
Location
Notes
E Course
March 5, 6, 7 2010
Kearney, NE
Fri: 6 PM - 10 PM
Sat: 9:00 AM - 4 PM
Sun: 9:00 AM - 4 PM
U6 U8 Youth Module
April 10, 2010
Blair, NE
11 AM - 1 PM

 

Please type normally, making sure to fill in required boxes (*)

First Name *
Last Name *
Home Phone * XXX-XXX-XXXX
Work Phone XXX-XXX-XXXX
Email Address
Address *
City *
State *
Zip * XXXXX-XXXX
 
Club/Organization
Registration
Location
Prerequisite *
*D License only! If you are registering for any course other than the D, leave blank. Please type in your "E" License # or Waiver # if you have received one from Matt Howe, who has the final decision on all registrations.

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