JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2023 Nevada South Coach Fee Reimbursement, Credit or Donation Request Form
The Nevada South League will reimburse, provide an equal store credit or accept a donation to the League for the $25 NICA coach registration fee.
All coaches who have participated at least one season and who complete any level of coach license and commit to working with a team for the 2023 season are eligible to submit a request.
PLEASE ONLY SUBMIT A FORM AFTER THE PIT ZONE HAS UPDATED YOUR LICENSE FOR THE 2023 SEASON.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name (Exactly as spelled in the Pit Zone)
*
Your answer
Last Name (Exactly as spelled in the Pit Zone)
*
Your answer
Email address used for Pit Zone login.
*
Your answer
Is this at least your second season with the Nevada South League?
*
Yes
No
Other:
Option for reimbursement, credit or donation of the $25 NICA coach registration fee.
I would like my fee credited back to the credit card used for registration.
I would like a store credit that can be applied to league, race or event registration for my child.
would like to donate my fee to the League
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of National Interscholastic Cycling Association.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report