Register For Course: Shallotte, NC - L6

  • Course Title: Shallotte, NC - L6
  • Date: Oct 04, 2013 through Oct 06, 2013
  • Cost: $150.00
  • Step 1: InformationStep 2: BillingStep 3: Complete

    1. Personal Information


    2. Mailing Address

    3. Billing Address

    Copy Information From Mailing Address

    4. Contact Details

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    5. Coaching Information

    6. Emergency Contact Information

    7. Medical Information

    8. Waiver

    I agree and understand that the National Soccer Coaches Association of America (NSCAA) has explained that the Coaching Academy program is physically demanding and I represent that I am physically able to participate fully in the Coaching Academy program.  I hereby agree to save and hold harmless the NSCAA, its staff, including coaches and each of its officers and directors (the persons and entities released hereinafter being referred to individually and collectively as NSCAA) against loss or damage for any injury, illness or other condition arising out of my participation in the Coaching Academy program, and I hereby release, waive and forever discharge NSCAA from any and all claims which may be made by or on behalf of me arising out of my participation in the Coaching Academy program.