Coaching Class Registration
Date:
Spring, Summer, Fall & Winter Classes -Weekend POWER Course, SATELLITE Power Courses- OFF SITE, Conventional 1 class/week Course- Are Available SEE Registration Options BELOW
Site:
CAS/CIAC Building, 30 Realty Drive, Cheshire, CT 06410 Unless specified at a Satellite Location.
Registration Deadline:
You can register as long as the class is listed as an option and no refunds will be given to anyone who uses the course registration to obtain a second Temporary Permit. EMAIL NOTIFICATION MUST BE RECEIVED 48 HOURS PRIOR TO THE START OF CLASS FOR ALL REFUNDS OR CHANGING TO ANOTHER SESSION.
Cost:
$375 - Must be done via credit card online
Description:
This course is designed to fulfill the Connecticut State Department of Education Requirements for obtaining a Coaching Permit. It meets in various formats to best fit the schedule of coaches. Weekends in the summer, fall & spring and every Wednesday night in the Winter on the dates specified and ATTENDANCE TO ALL CLASSES IS REQUIRED. Note: Refunds will not be given to those who use their registration to apply for a second Temporary Coaching Permit. EMAIL NOTIFICATION MUST BE RECEIVED 48 HOURS PRIOR TO THE START OF CLASS FOR ALL REFUNDS OR CHANGING TO ANOTHER SESSION.
Note:
Items with
*
are required.
Registrant Name
*
:
First
*
:
Last
*
:
Affiliation
*
:
Choose a High School...
Choose a Middle School...
Choose a Elementary School...
Choose a District Name...
Affiliation is not a CT School or District...
Phone
*
:
E-Mail
*
:
Re-Enter E-Mail
*
:
Mailing Address
*
:
City, State and Zip
*
:
CT
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IA
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Payment Method
*
:
VISA
MasterCard
Credit Card
*
:
Expiration Date
*
:
1
2
3
4
5
6
7
8
9
10
11
12
/20
Name on Card
*
:
Card Verification Code
*
:
[
Where do I find this?
]
Billing Address
*
:
Billing City, State and Zip
*
:
CT
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IA
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Daytime Contact Number
Last 4 digits of your Social Security Number
*
Session
*
SUMMER 2020 POWER CLASS held at CIAC Office Building - 30 Realty Dr., Cheshire, CT 06410Thursdays and Fridays August 6,7 and 13,14, 2020 from 5-10pm and Saturdays August 8 & 15, 2020 - 8:30am-9pm
Occupation
*
Total Amount to be Charged:
Please do not press the submit registration button more then once,
or duplicate charges may result.
