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Get Usa Hockey Coaching Certification Waiver Form

Please submit check or money order for 50 along with your Petition For Waiver Form. Credit card payments are not accepted. Your waiver will not be considered until payment is received. PERSONAL INFORMATION Date // Legal Name Date of Birth // Address City Home Phone Work Zip Code Fax E-mail Address COACHING/HOCKEY BACKGROUND Current District Current Association Age level you are currently coaching Number of years you have coached CEP Card Numbe.

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