1. Registration Information

The Midwest's PREMIER Cheer & Dance Coaches Conference
June 27th & 28th 2009
Canton, OH
(Details Coming Soon)

2. Request more information

Coach's Name

School/Gym/Organization

Home Mailing Address

Suite/Apartment

City

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other

Zip

Email Address

Home Phone

Work Phone

Gym/Organization Phone

Cell Phone

3. Please check all that apply to the coach

All-Star Cheer Coach
All-Star Dance Coach
School Cheer Coach
School Dance Coach
Collegiate Cheer Coach
Collegiate Dance Coach
Youth Cheer Coach
All-Star Gym/Studio Director
All-Star Gym/Studio Owner

5. Are you interested in AACCA Safety Certification? YES NO

5. Are you interested in USASF Credentialing? YES NO