2011 ICGSA Volleyball Coaches Clinic Registration Form
Saturday, August 6th
at Center Grove High School
Guest Presenters: Mike Lingenfelter- Wapahani High School / Asics Munciana
Sherry Dunbar-Indiana Univeristy
School__________________________________________________________________
Home
Address____________________________City_________________Zip________
Home Phone______________________Home
E-mail____________________________
School
Phone_____________________ School Email____________________________
Coaching Level:_____Varsity _____Jr. Varsity _____Freshman _____Jr.
High/Elementary
Additional Staff Members
Name___________________________________________________________________
Coaching Level:____Varsity ____Jr. Varsity ____Freshman ____Jr.
High/Elementary
Name___________________________________________________________________
Coaching Level:____Varsity ____Jr. Varsity ____Freshman ____Jr.
High/Elementary
Name___________________________________________________________________
Coaching Level:____Varsity ____Jr. Varsity ____Freshman ____Jr.
High/Elementary
Name___________________________________________________________________
Coaching Level:____Varsity ____Jr. Varsity ____Freshman ____Jr.
High/Elementary
Number of coaches
_____ Clinic fee @ $40 $
__________
_____ Clinic fee @ $35 for
each additional Staff $
__________
_____ Catered lunch by Subway
@ $6 each $
__________
TOTAL $ __________
Do NOT include your ICGSA
membership dues in your check for the volleyball clinic. There will be an ICGSA representative at the
clinic for anyone who would like to pay his or her membership dues for the
upcoming school year. If you choose to
do this, please remember a separate check will be required.
Make checks payable to: ICGSA-Payment must be included with your
registration form. Return completed form
to: Matt Curts, 2275 N 700 E Union City, IN 47390
Type of payment (circle one)