2023 KCCTFCA Winter Clinic Registration
Registration form for the KCCTFCA Winter Coaching Clinic in Topeka at Washburn Rural High School on January 6 & 7, 2023.  A form must be filled out for each coach attending.

Registration fees:  $75 per person  $10 will be added to the registration fee for online registrations after January 3, 2023.
      Registration includes clinic sessions, coaches social, and a lunch
      Hotel Rooms are NOT included in registration fee - Room Block is available for $99 per room until     
      12/9/22

This registration form must be filled out for each coach attending the clinic.  Once your registration is received, an invoice will be sent to the head coach.  Payments can be made by credit card using the link on the invoice or by check sent using the info below.

Checks are to be made out to KCCTFCA and may be mailed to:
     KCCTFCA
     c/o J.J. Wannamaker
     10012 Ballentine Dr.
      Overland Park, KS  66214

Credit Card Payment Options:  (Visa, MasterCard, American Express, and Discover accepted.)
1.  Pay online using invoice that is sent to your email address.  Invoice will be sent to Head Coach if multiple coaches are listed for a school.
2.  Pay at the clinic on January 3rd or 4th. - (please let J.J. Wannamaker know if this is your plan)  
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First Name *
Last Name *
School *
email address *
Contact phone number *
Planned Payment Method.  All schools will be invoiced after registration has been received.  Payment should be received by the KCCTFCA in advance if possible. *
Email Registration Invoice to .... *
Special Notes
Answer only if it applies to you.  I am a recipient of (check any that apply)
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