2010-11 CAP Registration

Training & Education

Registration is $60 per level and includes instruction, binder (CAP 1) and refreshments.
CAP Beginning Certification is achieved after completing CAP1 and CAP2; additional certification occurs after completion of
subsequent levels.
Payment must be received with registration form. (Make checks and money orders payable to MHSAA)
No refunds will be issued. Money paid may be transferred to another program.

Name:*		Gender*
Home Street Address:*
City:*		Zip:*
Email Address:*
Work Phone:	Cell Phone:	Home Phone:

School Name:
Please check form of payment:* Will mail check or money order at least 1 week prior to session Will call MHSAA with credit card payment within 24 hours

Please list below only the course(s) for which you wish to register:
Course One:*
Course Two:
Course Three:
Course Four:
Course Five:

Date of birth (required for insurance):*
Years of coaching experience:*

Sports you coach:
Sport	Gender	Level




Are you a faculty member of the school district where you coach? Yes No

Why are you attending this Coaches Education program?




* Required

Helpful Information for:

Michigan High School Athletic Association
1661 Ramblewood Drive
East Lansing, MI 48823
Office 517-332-5046 Fax 517-332-4071

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