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
*
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Last
*
:
Affiliation
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:
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Affiliation is not a CT School or District...
Phone
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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
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MS
MT
NE
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NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
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WI
WY
Payment Method
*
:
VISA
MasterCard
Credit Card
*
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Expiration Date
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1
2
3
4
5
6
7
8
9
10
11
12
/20
Name on Card
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:
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
*
FALL 2018 POWER CLASS held at CIAC Building - 30 Realty Drive, Cheshire, CT 0641 - Thursdays and Fridays November 1, 2 & 8, 9 -2018 at 5-10pm and Saturdays November 3 & 10, 2018 - 8:30am-9pm
FALL 2018 SATELLITE POWER CLASS held at Amity High School - 25Newton Rd., Drive, Woodbridge, CT 06525 - Thursdays and Fridays November 8, 9 & 15, 16 2018 at 5-10pm and Saturdays November 10 & 17, 2018 - 8:30am-9pm
WINTER 2018-19 TRADITIONAL CLASS held at CIAC Building - 30 Realty Drive, Cheshire, CT 0641 - Held Every Wednesday Night from November 28, 2018 thru February 20, 2019 From 6--9:30pm
EARLY SPRING 2019 SATELLITE POWER CLASS 1 held at Staples High School - 70 North Ave, Drive, Westport, CT 06880 Thursdays and Fridays February 28 & March 1, 7, 8 2019 at 5-10pm and Saturdays March 2 & 9, 2019 - 8:30am-9pm
EARLY SPRING 2019 SATELLITE POWER CLASS 2 held at Norwich Free Academy - 305 Broadway, Norwich, CT 06360 Thursdays and Fridays March 7, 8 & 14, 15, 2019 at 5-10pm and Saturdays March 9 & 16, 2019 - 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.
