Certified USASA/USSA Coaches

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Certified USASA/USSA Coaches - Lift Tickets

ONLY for Certified USASA/USSA Coaches at ADK Regional USASA Events

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First Name *

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Last Name *

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Cell Number *

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Certification Organization *

USASA

USSA

Member # *

Your answer

Club/Team or Athlete you are representing at event? *

Your answer

Which event(s) will you be attending? *

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