Silver Coaches College Application Form for June 7-9, 2017 at the Men's FS World Team Trials in Lincoln, NE

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This clinic does NOT require state chairperson approval (the annual Fall Clinic does require endorsement).

Contact: NCEP Manager, Mike Clayton at email mclayton@usawrestling.org or call 719.265.3631.

Acceptance: You will receive an email with you official acceptance. Event details are currently in the works and space may be limited. We will post updates online and will email all participants with updates and info.

Cost/Fee Options (includes clinic and coach social - does not include room/board):
Clinic fee $449
Optional video and shirt package $75 (provides a link to download all clinic video plus a USA Wrestling shirt from CK)

Location of the clinic (building, room, etc...) will be posted online and emailed to accepted coaches once the facility space is secured. We will also provide a list of hotels close to the clinic as well as any possible discount packages.

Coaches First Name *

Coaches Last Name *

Coaches Street Address *

City *

State *

Zip Code *

Coaches USA Wrestling ID Number (ending in 01) *

Cell or Best Contact Number *

Email Address *

Date of Birth *

YYYY

Select your clinic fee/rate *

$449 clinic only (includes one set of World Team Trial tickets for each coach for all sessions)

$449 clinic plus $75 shirt/video package = $524 total

I'm a High Performance Member ($100 discount - processed separately with NCEP Manager)

Shirt Size (only if purchasing the full clinic package at the $325 rate)

Men's Adult S

Men's Adult M

Men's Adult L

Men's Adult XL

Men's Adult XXL

Men's Adult 3XL

Women's Adult S

Women's Adult M

Women's Adult L

Women's Adult XL

Women's Adult XXL

Other:

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