User Information
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Email:
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School:
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I am a:	Please Select... Coach/Official Athlete/Parent/Guardian
	Mailing Address
	This is the address where the certification card will be mailed to upon completion of the certification. If mailing address is a school then the school name MUST be included in the address field below.
Address 1:
Address 2:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware 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
Zip:
	Note: Please make sure to write down your password.