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2010 CLINIC REGISTRATION FORM - March 5 & 6, 2010 - click here for agenda and times

Complete this entire form and mail to David Hulings, PO Box 244, Fruitport, MI 49415.  After Feb. 25, 2010 complete this form and bring it to the clinic, please do not mail it. (This post mark deadline is firm)

Name:     Phone (include area code)

Address:    City: Zip: 

Phone (with area code):     Email Address:

School(s):  Membership ID Number (if you are current)     

(If you are not currently a paid member, you must include a membership application and membership fee, along with the cost of the clinic)

Boy's Team You Coach:     Girl's Team You Coach:   

Travel Team You Coach:

All cost below include clinic t-shirt and chance to win great prizes including hotel, registration fee and meals for the 2011 National Coaches Conference in January, 2011 in Baltimore. 

   Up-to-Date Paid Member - Pre-registering - cost is $65.00 - Must be postmarked by Feb. 25 (to register as a member for the clinic you must be a paid up and active coach of a high school soccer team.  If you are a club coach, travel coach, etc. you must register as a non-member.)  After Feb. 25, you must register at the door the day of the clinic.

    Non Member (or Membership is not current) - Pre-registering - cost is $100.00 - Must be postmarked by Feb. 25.  Fee Includes a membership to MHSSCA.   After Feb. 25, you must register at the door the day of the clinic.  Please complete a membership form, as well.

Or, pay the day of the clinic, members and/or non-members  - cost is $100.00.  Does not include membership. 

Yes, I will be attending the Rules Meeting sponsored by the MHSAA prior the the annual meeting at 6:00 p.m. at Mount Pleasant High School

Yes, I will be attending the Annual General Meeting at 7:00 p.m. at the Soaring Eagle Casino

Send the appropriate amount of money in check form to David Hulings, PO Box 244, Fruitport, MI .  Place your name on the check.

If your check is post marked past the date posted above you may still owe the additional monies the day of the clinic.