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NCCP Coach Clinic Host Application Form
Please fill out this form if you would like to host a NCCP Initiation Clinic in your area.
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Email
*
Your email
League
*
Choose
Bonivital
Brandon
Carillon
Interlake
Kenora
Midwest
North Winnipeg
Oildome
Parkland
Pembina Hills
Portage
Red Lake
Red River Valley
South Central
St. James
Winnipeg South
City/Town
*
Your answer
Facility
*
Your answer
Clinic Date(s)
*
Your answer
Clinic Time(s)
*
Note: Clinics must be scheduled for 4 hours.
Your answer
How many coaches are you expecting?
*
Note: The minimum number of coaches per clinic is 8.
Your answer
Contact Name
*
Your answer
Contact Number
*
Your answer
Contact Email
*
Your answer
Additional Notes
Your answer
A copy of your responses will be emailed to the address you provided.
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