Coaches Clinic Registration

Use this form to register for the Heart of America Coaches Clinics. All participants need to pre-register! Only register if you will attend.

The fee for the clinics is $75 per coach, due at the clinic. The fee is waived for all HOA coaches who can show their 2015 HOA Credentials (must be registered, background screened, Impact or CAP certified and have completed online officiating clinics).

Clinic Date & Location*

Coach Name (First Last)*

Phone (C)*

Email*

Club

Coaching Experience*

Is Coach USAV Member?*



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(*) It is required to have this information before submitting form.

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