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ITCCOA 2024 T&F Clinic Sign-Up
Sign-up form for the ITCCOA 2024 T&F Clinic in St. Charles on Sunday January 28th
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Email
*
Your email
Which clinic are you signing up for?
Fees for attending:
St Charles HS - $50 for all
Stevenson HS $0 for
ITCCOA Members | $20 non-members
Williamsville HS
$0 for
ITCCOA Members | $20 non-members
O'Fallon HS
$0 for
ITCCOA Members | $20 non-members
*
Sunday January 21, 2024 Stevenson HS Lincolnshire IL 9am - 1pm. (Northern Illinois)
Sunday January 28, 2024 St Charles East HS (ITCCOA Level 1 clinic) 9am - 3pm
Saturday February 10, 2024 Williamsville HS 9am - 1pm (Central Illinois)
Saturday February 24, 2024 O'Fallon HS 9am - 1pm (South Western Illinois)
Required
First and Last Name
*
Your answer
Phone Number
*
Your answer
City
*
Your answer
Years as an IHSA T&F and /or XC official
*
Your answer
How do you plan to pay the attendance fee?
$50 for ITCCOA St Charles clinic
for all attendees
$20 for non-members for Stevenson HS, Williamsville HS, or O'Fallon HS
$0 for ITCCOA Members
for Stevenson HS, Williamsville HS, or O'Fallon HS
*
I am a member of the ITCCOA for 2023-2024.
I will attempt to use Zelle to send a payment to
ITCCOA.Sec@gmail.com
I will send a check PAYABLE TO ITCCOA to Jay Marshall, ITCCOA Sec/Treas, 5410 W. Valley Dr., Richmond IL 60071 (Please mail two weeks prior)
I will pay at the door with check or cash.
I have a complimentary admission to St Charles for completing an ITCCOA mentor program
Send me a copy of my responses.
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