Group Clinic Form

Wisconsin Volleyball Coaches Association

2010 Coaches Clinic Group Registration Form

$370.00 - Group Clinic Rate (One AVCA Membership, Four WVCA Memberships, Clinic, Lunch) (For Up to Four Coaches)

$320.00 - Group Clinic Rate (Four WVCA Memberships, Clinic, Lunch) (For Up to Four Coaches)

Additional Coaches over Four from same school are $80.00 per coach.

This form can only be used for Pre-Registration! It will not be accepted for Walk-Ups.

PLEASE INDICATE WHICH COACH SHOULD RECEIVE THE AVCA MEMBERSHIP.

School Name Division ____

School Address

City State Zip Phone

Conference Affiliation WIAA District ______ (Per WIAA)

Coach	First Name	Last Name	Address	City	Zip
1
	Type of Coach	Phone	E-Mail
	(WVCA Communicates Over E-mail - Need Complete and Accurate E-Mail)
-
2
	Type of Coach	Phone	E-Mail
	(WVCA Communicates Over E-mail - Need Complete and Accurate E-Mail)
-
3
	Type of Coach	Phone	E-Mail
	(WVCA Communicates Over E-mail - Need Complete and Accurate E-Mail)
-
4
	Type of Coach	Phone	E-Mail
	(WVCA Communicates Over E-mail - Need Complete and Accurate E-Mail)
-
5
Additional $80.00	Type of Coach	Phone	E-Mail
	(WVCA Communicates Over E-mail - Need Complete and Accurate E-Mail)
-
6
Additional $80.00	Type of Coach	Phone	E-Mail
	(WVCA Communicates Over E-mail - Need Complete and Accurate E-Mail)

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.