SCHSSCA Winter Clinic Registration Sponsored by Lloyd's Soccer Question Title * 1. Name Question Title * 2. School Question Title * 3. Email Question Title * 4. Cell Phone Question Title * 5. Classification SCHSL 5A SCHSL 4A SCHSL 3A SCHSL 2A SCHSL 1A SCISA 3A SCISA 2A-1A Independent Other (please specify) Question Title * 6. What gender do you coach? Male Female Both Question Title * 7. Mailing Address Question Title * 8. City Question Title * 9. Zip Code Question Title * 10. Are you a current SCACA/SCHSSCA member? Yes No I don't know Question Title * 11. Are you a current United Soccer Coaches member? Yes No I don't know Other (please specify) Question Title * 12. Will you attend the SCHSL Rules Clinic? Yes No Question Title * 13. Will you attend the SCHSSCA Coaches Social Friday night? Yes No Question Title * 14. Will you attend the FCA Breakfast Saturday morning? Yes No Question Title * 15. Will you attend the on-the-field session on Saturday? Yes No Question Title * 16. How do you plan to pay for your registration? School Check Personal Check PayPal On-site Other (please specify) Question Title * 17. Shirt size 2XL XL L M S Question Title * 18. Other comments: Done