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EMERALD GEMS
2018 U.S.V.I. Basketball Coaching Seminar
Registration Form
Wednesday, August 1, 2018 from 6:00-7:00pm
Ivanna Eudora Kean High School
Topic: "Believing in Yourself Despite Adversity"
Please register by July 31, 2018
Coach Information
First Name:
*
Last Name:
*
Gender
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Male
Female
Address:
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U.S.V.I
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St. Thomas
St. Croix
Zip Code:
*
Email Address:
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Cell Number:
*
Home Number:
Work Number:
Coaching Experience:
*
Emergency Contact Information
Emergency Contact Name:
*
Phone Number:
*
Relationship:
*
Terms & Conditions
Terms & Conditions
*
By Checking This Box, I'm agreeing to the Terms & Conditions.
View Terms & Conditions
For additional information, please contact emeraldgemsfoundation@gmail.com.