Wisconsin Volleyball Coaches Association

2010 Coaches Clinic Registration Form

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      Last Name 

      First Name 

Street Address 

                City    State   Zip

             Phone 

            E-Mail  (WVCA Communicates Over E-mail - Need Complete and Accurate E-Mail)

            School 

          Division 

School Address

                City    State   Zip

             Phone 

Conference Affiliation         WIAA District  ___ (Per WIAA)

    Coach Type  ________________

     Clinic Cost  

The above fees are for Pre-Registration only!  Walk-Ups will be charged an additional $25 per coach.

 

Print this coaches clinic registration form and mail with appropriate fee to:

Kim Monsen

662 Hwy 138 South

Stoughton  WI  53589

If you sign up for the WVCA Coaches Clinic your Membership is included in the Clinic Fee.