2018 State Soccer Championships Coaches Clinic Registration

Nebraska State Soccer Championships Coaches Clinic
  • Registration: $25.00 per person.
  • To pay ONLINE via CREDIT CARD: Complete this form and click "Continue to Credit Card Payment Screen" to enter your credit card information. Once you have completed credit card payment, your registration is complete. You will NOT need to mail in a copy of this form.
  • OR Call the NCA office at 402-434-5675. Please have credit card information ready.
  • Registrations will be accepted online until May 14, 2018 at midnight.
  • NO REFUNDS!

Clinic Registration Includes:

Clinic Sessions - "Attacking the Final Third"

Coaches Soical following Clinic at "The Session Room" (15th & Mike Fahey)

2017 NSAA State Soccer Championships T-Shirt

NSCAA Special Topics Diploma

NSCAA Introductory Membership



SCHOOL/CLUB/ORGANIZATION:

Nebraska High School:

OR: Out of State HS or part of a Club or other Organization? Type the name HERE:

COACHES ATTENDING:

The fee is $25.00 per coach. Your total amount due will automatically calculate in the box next to "Total Amount Due" at the bottom of this screen.

Please fill out ALL information for each coach below.

All fields are required.

 Coach's NameMailing AddressE-mailT-ShirtNCA
Social
Cost
1.

,
Yes
No
$25.00
2.

,
Yes
No
$25.00
3.

,
Yes
No
$25.00
4.

,
Yes
No
$25.00
+ Add Another Coach
Total Amount Due:$ (NO REFUNDS!)
Contact information for person submitting this form:
Please complete this info accurately so we can contact you if there are any problems.
     Name:
     Phone:() -
     E-mail:
  • To pay ONLINE via CREDIT CARD: Complete this form and click "Continue to Credit Card Payment Screen" to enter your credit card information. Once you have completed credit card payment, your registration is complete. You will NOT need to mail in a copy of this form.
  • OR Call the NCA office at 402-434-5675. Please have credit card information ready.



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