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Get WV Form 39 2013-2021

Er Authorization I have enclosed the following : Proof of Completion of WVSSAC Coaching Principles Proof of Completion of WVSSAC First Aid Course Proof of Completion of WVSSAC Association Course **Must also complete 1, 2, and 3 below Copy of Current Health Care Provider License (M.D., R.N., P.T., E.M.T, etc.) Affirmation of in-person attendance at the WVSSAC Athletic Trainer Rules Clinic Date Attended: ____________________ Proof of High School Diploma or Equivalent Renewal of Coaching Authori.

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