May 2019 Eagle Coach Summit Registration

2019 Annual Spring Coach Summit, Eagle Registration

Scholarship Deadline April 22

Event Details HERE

Registration Closes April 25

Friday, May 3, 5:00 - 8:00 PM

Saturday, May 4

Sunday, May 5

Weekend Agenda

Brush Creek Pavilion

909 Capitol

Eagle, CO 81631

Lodging Partners

Please limit the number of coaches per team to 3.

Participant Information

Full Name *

First Name Last Name

E-mail *

Cell Phone *

Other Phone

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Emergency Contact Name *

Emergency Contact Phone Number *

Team or School Affiliation

(if applicable)

Type of Team

New Team Returning Team Other

Your Role

Volunteer Level 1 Coach Level 2 Coach Level 3 Coach Team Director/Head Coach

Medical Conditions(s) *

Food & Other Allergies *

Vegetarian

Yes No

Registration Details

Please review the Agenda and the specific Colorado League Coach License requirements thoroughly prior to registering. This will ensure that you are obtaining the education you desire.

We invite everyone to attend Friday evening activities.

There are many options:

2-days
1-day only:

Saturday OR

Sunday meets the Coach L2 education requirements OTB 101 Skills, plus 3 credits DOES NOT include: CPR, Recert WFA-16hr, NICA webinars and tests

Half-Day: IF you plan to take the Recert-WFA:
- Saturday, 2:30-6:30 PM OR
- Sunday, 11:15 AM - 4:30 PM (includes a lunch break)

Half Day if you are attending the Youth - Mental Health First Aid Training , two sessions required to receive certification - FREE sponsored by the Check-In Foundation
- Saturday, 8:30 AM - 12:30 PM
- Sunday, 8:30 AM - 12:30 PM
CPR, CPR Recert or WFA-Recert - pay certification card, For WFA certifications that expired in 2018 or will expire in 2019. MUST bring a copy of WFA-16 hr card from any provider. These hours are NOT included as PDUs. 2nd Chance Fund covers education.

Youth - Mental Health First Aid Training ONLY, both sessions required - FREE sponsored by the Check-In Foundation
- Saturday, 8:30 AM - 12:30 PM
- Sunday, 8:30 AM - 12:30 PM

I plan on attending Friday evening session 5:00 - 7:00 PM. *

Yes No

I plan on attending Friday dinner 7:00 PM. *

Yes No

I plan on attending the Youth-Mental Health First Aid Training: BOTH sessions required: Saturday, May 4th 8:30 AM - 12:30 PM and Sunday, May 5th 8:30 AM - 12:30 PM. If you are attending this training and plan to attend Saturday or Sunday afternoon class offerings. Be sure to register accordingly below. - THANK YOU *

Yes No

I am attending Sunday. OTB 101 is required for Level 2 and Level 3 license. OTB 201 is for those who have taken OTB 101. I want to attend OTB 201. *

Yes No

Refer to AGENDA before choosing registration options *

2-Day Coach Summit (Sat & Sun) includes OTB SKILLS on Sunday, manuals, breakfast & lunch. Does NOT include CPR or WFA RE-CERT: $ 175.00

1-Day Coach Summit Saturday ONLY, includes manuals, breakfast & lunch. Does NOT include OTB Skills on Sunday, CPR or WFA RE-CERT: $ 100.00

1-Day Coach Summit Sunday ONLY includes OTB SKILLS, manuals, breakfast & lunch. Does NOT include CPR or WFA RE-CERT: $ 100.00

Half-Day Saturday Morning ONLY, includes breakfast & lunch: $ 55.00

Half-Day Saturday Afternoon ONLY, includes lunch: $ 55.00

Half-Day Sunday Morning, includes breakfast & lunch: $ 55.00

Half-Day Sunday Afternoon ONLY, includes lunch: $ 55.00

CPR Saturday 9:00 AM - 11:00 AM: $ 15.00

CPR Recert, Saturday 11:15 AM - 12:15 PM: $ 15.00

Recertification Wilderness First Aid Saturday 2:30 PM - 6:30 PM for those with WFA certification that expired in 2018 or will expire in 2019. MUST bring a copy of WFA-16 hr card from any provider: $ 30.00

CPR, Sunday 8:30 AM - 10:30 AM: $ 15.00

Recertification Wilderness First Aid Sunday 11:30 AM - 12::30 PM AND 1:30 PM - 4:30 PM for those with WFA certification that expired in 2018 or will expire in 2019. MUST bring a copy of WFA-16 hr card from any provider: $ 30.00

CPR Recert, Sunday 4:30 PM - 5:30 PM: $ 15.00

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Total $ 0.00