WFSCA 2010 Coaches Registration Form

* Denotes required fields

Personal Information

First Name:	*
Last Name:	*
Home Address:
City:
State:
Zip:
Home Email:	*
Home Phone:	* Format: xxx-xxx-xxxx

Program Information

Coaching Position:	*
Team Division:	*
Athletic Conference:	* (The form will search as you type)
WFSCA District:	*

School Information

School Name:	* (The form will search as you type)
School Address:

City:
State:
Zip:
School Email:	*
School Phone:	* Format: xxx-xxx-xxxx

Membership

Online registration must be submitted by 11:59 p.m. April 1, 2010. Payments must be postmarked by April 15, 2010. No memberships will be accepted after this date. Head coaches must be members for their players to be eligible for any recognition from the WFSCA.

2010 season membership ($30):

Coaches Clinic Registration

February 20–21, 2010 — Ramada Stevens Point

You have missed the online registration window. You may still register at the door (an additional $10 late fee will be added to the prices shown below).

Saturday AND Sunday ($70 Members, $110 Non-members)
Saturday ONLY ($50 Members, $90 Non-members)
Sunday ONLY ($50 Members, $90 Non-members)

Please indicate below if you would like your Email address shared with our registered vendors.

I do NOT want to be contacted by WFSCA authorized vendors.
Vendors may Email either my home or school addresses.
Vendors may Email only my school address.
Vendors may Email only my home address.

Upon submission of this form you will be provided with a total amount due and the address for mailing payment as a printable receipt.