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Coaching CEU Registration

  • Date: November 21-23, 2019 (No Walk in Registrations)
  • Site: CIAC OFFICE- 30 Realty Drive, Cheshire, CT. 06410
  • Registration Deadline: Until specified the course is closed
  • Cost: $40 per module - must be done via credit card online

  • Description: These module offerings provide an opportunity for coaches to experience quality professional development while also satisfying the 15 hour State Department of Education requirement. Interested individuals may sign up for any number of courses. Select which ever courses you would like to attend from the choices below. There are NO WALK in registrations, CANCELLATION POLICY: EMAIL NOTIFICATION 48 HOURS PRIOR TO EACH CLASS IS REQUIRED FOR A REFUND OR TO REQUEST CHANGING TO ANOTHER SESSION. *** NOTE-The State Department NO LONGER requires an original concussion certificate to renew a permit.


Note: Items with * are required.
Registrant Name*: First*:
Last*:
Affiliation*:
Phone*:
E-Mail*:
Re-Enter E-Mail*:
Mailing Address*:
City, State and Zip*:
Payment Method*:
Credit Card*:
Expiration Date*: /20
Name on Card*:
Card Verification Code*:
[Where do I find this?]
Billing Address*:
Billing City, State and Zip*:
Last Four Digits of Attendee's Social Security Number*
CLOSED_ do not select
CLOSED_ do not select
CLOSED_ do not select
CLOSED_ do not select
CLOSED_ do not select
Total Amount to be Charged:

Please do not press the submit registration button more then once,
or duplicate charges may result.