Coach Registration

Pre-registration is recommended.

Walk-ins are welcome for In-Person Learning.

Payment required at time of registration via Credit Card (see below)

REGISTRATION

Complete below and submit

Full Name

High School Affiliation

Email Address

Cellular Phone #

LAST 4-Social Security #

Birthdate

CPR TRAINING ONLY ($40) September 29, 2021 @ 5:00p
October 12, 2021 @ 5:00p

FIRST AID FOR COACHES ONLY: IN-PERSON ($30) September 29, 2021 at 5:00pm (In-Person)
October 13, 2021 at 5:00pm (In-Person)

FIRST AID FOR COACHES ONLY: ONLINE ($30) September 29, 2021 at 5:00pm (Online)
October 13, 2021 at 5:00pm (Online)

BOTH CPR & FIRST AID FOR COACHES ($60) September 29, 2021 at 5:00pm
October 13, 2021 at 5:00pm

After submitting registration, return here to pay

PAY here with Credit Card......

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