www.nationalwingtclinic.com

PITTSBURGH NATIONATIONAL WING-T CLINIC REGISTRATION FORM

download a text version of the registration form .

 

School Name:

Contact Name:
School Address:
Street:
City: 
State:

Zip Code:

Telephone No:
Fax Number:
Email Address:
   
PAYMENT INFORMATION:  
Pre-Registration Cost per coach:           $85.00
Onsite Registration per coach:               $95.00
 

Make checks payable to: Tom Herman (National Wing-T Clinic)
, PO #

TOTAL AMOUNT ENCLOSED  = $
   
Name(s) of coaches you are purchasing a Registration for (#1 being Primary Contact):
First Name Last Name
1.
2.
3.
4.
5.
6.
7.
8.
   I confirm that all the coaches listed above coach at the named school or affiliate junior high School. Each coach must present a photo ID when they officially register.

  

Send or Fax Form To:

 

Tom Herman

Rec. Center

Mercyhurst College

501 East 38th St.

Erie, PA  16546-0001

FAX (814) 824-2204

 

If you have any questions call Coach Tom Herman @814-824-2269 or E-Mail him @ therman@mercyhurst.edu or Dave McDonald @  nationalwingt@gmail.com

 

ROOM RESERVATIONS

 

For room Reservations call please call 412-269-9070. When reserving your room tell them that you are attending the National Wing-T clinic to secure the special room rate. The hotel will provide free shuttle service from the Pittsburgh Airport. 

Our clinic fee will includes our Hospitality Room, Friday Pizza Party and a breakfast buffet Saturday Morning at the hotel.

 

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VENDERS

 

We will have space for venders that wish to sell their goods.  If any one knows of any venders that wish to have a booth at our clinic have them call me at 814-824-2269.

You can E-Mail Dave McDonald at: nationalwingt@gmail.com

You can E-Mail Tom Herman at:     therman@mercyhurst.edu