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 *

Address: *

U.S.V.I *

Zip Code: *

Email Address: *

Cell Number: *

Home Number:

Work Number:

Coaching Experience: *

Emergency Contact Information

Emergency Contact Name: *

Phone Number: *

Relationship: *

Terms & Conditions *

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