Coach Registration

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Pre-registration is recommended.

Walk-ins are welcome for In-Person Learning.

REGISTRATION

Complete below and submit

Full Name

High School Affiliation

Email Address

Cellular Phone #

LAST 4-Social Security #

Birthdate

BOTH: CPR & FIRST AID

BOTH CPR & FIRST AID FOR COACHES ($80)

CPR ONLY

CPR ONLY ($60)

FIRST AID FOR COACHES ONLY

FIRST AID FOR COACHES ONLY ($40)

Scan QR Code to pay