Clinic Registration

MNVBCA Clinic Registration

* Indicates required field

Name *

First

Last

Preferred Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Preferred Email *

Phone Number *

School *

**Enter 'none' if not a high school coach

Position *

**Head coach, assistant coach, parent, etc.

Class *

Section *

Club *

**Enter 'none' if not a club coach

Position *

**Head coach, assistant coach, club director, etc.

Payment Method *

Credit Card Online School Check by Mail Credit Card at Clinic Check at Clinic

If paying by Credit Card Online, a link to submit payment information will appear upon registration submission
All checks should be made out to MNVBCA. If mailing a check, it can be sent to the following address:

MNVBCA Coaches Clinic
123 Darin's House Road
Litchfield, MN 55789