2023 Clinic Registration

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Please make every effort to pre-register in order to assist our planning. Pre-registration is $40.00 per person by January 27, 2023. Registration at the door is $50.00. All pre-registration payment should be made payable to NCFCA and mailed to 6516 Valene Court, Myrtle Beach, SC 29572.

School Name

Region your school is in

Region 1

Region 2

Region 3

Region 4

Region 5

Region 6

Region 7

Region 8

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Head Coach Name registering for membership

Head Coach Email Address

In addition to being a member of the NCFCA will you attend the Feb. Clinic?

Yes

Clear selection

Will you attend the Friday night Coaches "Cookout"?

Yes

Clear selection

Will you attend the FCA Breakfast?

Yes

Clear selection

1. Asst. Coach Name regstering for Membership

In addition to being a member of the NCFCA will you attend the Feb. Clinic?

Yes

Clear selection

Will you attend the Friday night Coaches "Cookout"?

Yes

Clear selection

Will you attend the FCA Breakfast?

Yes

Clear selection

2. Asst. Coach Name regstering for Membership

In addition to being a member of the NCFCA will you attend the Feb. Clinic?

Yes

Clear selection

Will you attend the Friday night Coaches "Cookout"?

Yes

Clear selection

Will you attend the FCA Breakfast?

Yes

Clear selection

3. Asst. Coach Name regstering for Membership

In addition to being a member of the NCFCA will you attend the Feb. Clinic?

Yes

Clear selection

Will you attend the Friday night Coaches "Cookout"?

Yes

Clear selection

Will you attend the FCA Breakfast?

Yes

Clear selection

4. Asst. Coach Name regstering for Membership

In addition to being a member of the NCFCA will you attend the Feb. Clinic?

Yes

Clear selection

Will you attend the Friday night Coaches "Cookout"?

Yes

Clear selection

Will you attend the FCA Breakfast?

Yes

Clear selection

5. Asst. Coach Name regstering for Membership

In addition to being a member of the NCFCA will you attend the Feb. Clinic

Yes

Clear selection

Will you attend the Friday night Coaches "Cookout"?

Yes

Clear selection

Will you attend the FCA Breakfast?

Yes

Clear selection

6. Asst. Coach Name regstering for Membership

In addition to being a member of the NCFCA will you attend the Feb. Clinic

Yes

Clear selection

Will you attend the Friday night Coaches "Cookout"?

Yes

Clear selection

Will you attend the FCA Breakfast?

Yes

Clear selection

7. Asst. Coach Name regstering for Membership

In addition to being a member of the NCFCA will you attend the Feb. Clinic

Yes

Clear selection

Will you attend the Friday night Coaches "Cookout"?

Yes

Clear selection

Will you attend the FCA Breakfast?

Yes

Clear selection

8. Asst. Coach Name regstering for Membership

In addition to being a member of the NCFCA will you attend the Feb. Clinic

Yes

Clear selection

Will you attend the Friday night Coaches "Cookout"?

Yes

Clear selection

Will you attend the FCA Breakfast?

Yes

Clear selection

9. Asst. Coach Name regstering for Membership

In addition to being a member of the NCFCA will you attend the Feb. Clinic

Yes

Clear selection

Will you attend the Friday night Coaches "Cookout"?

Yes

Clear selection

Will you attend the FCA Breakfast?

Yes

Clear selection

10. Asst. Coach Name regstering for Membership

In addition to being a member of the NCFCA will you attend the Feb. Clinic

Yes

Clear selection

Will you attend the Friday night Coaches "Cookout"?

Yes

Clear selection

Will you attend the FCA Breakfast?

Yes

Clear selection

Submit

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