Coaching Education Program Registration Page
Welcome to the Coaching Education Program On-line Registration Form

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 Certificate
July 25, 26, 27, 2008
Elkhorn, NE
(details provided a week from course
start date)
Fri: 6:00 P.M.- 8:00 P.M.
Sat: 9:00 A.M. - 5:00 P.M
.Sun: 9:00 A.M. - 5:00 P.M
D License
July 25, 26, 27, 2008
&
August 1, 2, 3, 2008
Elkhorn, NE
(details provided a week from course
start date)
Fri: 6:00 P.M.- 10:00 P.M.
Sat: 9:00 A.M. - 5:00 P.M
.Sun: 9:00 A.M. - 5:00 P.M

 

- 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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