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2012 PRE-REGISTRATION LOUISVILLE NIKE COACH OF THE YEAR CLINIC 50th Anniversary February 10, 11, 12, 2012 CROWNE PLAZA LOUISVILLE AIRPORT 830 PHILLIPS LANE LOUISVILLE, KY 40209 1-502-367-2251 For Reservations Call: 1 888-233-9527 ________________________________________________________ Pre-Registration by February 3, 2012 Coaches 9th Grade & Up = $80 per coach Coaches 8th Grade and Under Including Middle School Coaches = $60 per coach Youth League Coaches – $50 per coach ________________________________________________________ Group Registration by February 03, 2012 Coaches 9th Grade & Up – 6, 7, or 8 Coaches — Same School = $70 Per Coach 9 to 18 Coaches Same School = $600 Flat Rate Fee ________________________________________________________ Coaches 8th Grade & Under Including Middle School 4 or More Same School — $50 per coach ________________________________________________________ Youth League Coaches 10 or more — Same League $40 Each ________________________________________________________ Late Registration and All Walk-ons at the Door After February 3, 2012 = $90 per coach! ________________________________________________________ We accept Checks, Visa, MasterCard, American Express, and Discover Cards via mail , online, or at the Louisville Clinic. ________________________________________________________ MAKE CHECKS PAYABLE TO: COACH OF THE YEAR CLINIC, INC. Earl Browning — Clinic Director Coach of the Year Clinic 3512 Foxglove Lane Louisville, KY 40241 For Office Use Only: Received: ______________ Paid Via: _____________ |
50th Anniversary NIKE COACH OF THE YEAR CLINIC School: __________________________________ Address: _________________________________ City: _____________________________________ State: __________________Zip: ______________ PLEASE NOTE: Each Coach MUST pick up his name tag and get his hand stamped to be admitted to the lectures. Security Check includes name tags and Black Light Stamp. Coaches Paid for: 1. ______________________________________________ 2. ______________________________________________ 3. ______________________________________________ 4. ______________________________________________ 5. ______________________________________________ 6. ______________________________________________ 7. ______________________________________________ 8. ______________________________________________ 9. ______________________________________________ 10. _____________________________________________ 11. _____________________________________________ 12. _____________________________________________ NO REFUNDS AFTER FEBRUARY 3, 2012 If paying by Credit Card Complete Information below: (Print Name): _________________________________ (Sign): _______________________________________ Exp date: /__/__/__/__/cvc no . __/___/__ List Card Numbers Below: /_/_/_/_/_/_/_/_/_/_/_/_/_/_/_/_/ _____________________________________________ For Office Use Only – Total Paid By Card: Total Received $______________ Total Coaches Paid for: ________ Notes:___________________________________________ |