2009 Region II Coaching Symposium
Bowling Green State University, February 27th-March 1st
Checks payable to: Ohio South Youth Soccer Association. No refunds will be offered.
Mail Registration Form and Check payment to: Ohio South, 25 Whitney Drive, Suite 104, Milford, OH 45150
Name (First, Last):

E-mail Address:

State Association:

Address:

City, State, Zip:

Home Phone Number (with area code):

Work Phone Number (with area code):

Fax (if applicable):

Coaching License Held (USSF, A, B, C, D, E, F or G):

T-Shirt Size:
Adult Large Adult X-Large
ODP Regional Age group Head or Assistant Coach? 
Age Group (ie: U12 Boys, U14 Girls, etc.):
If you are a coach from the Midwest Regional League, please fill in the folllowing:
Team Name:
Gender:
Age Group (ie: U12, U14, etc.):
FEES:
Fee (select from below):