Certification Clinic Request Form
To request a certification clinic complete and submit the form below.
Clinic requests will only be accepted if the information submitted is complete and accurate, and all locations, dates and
times are confirmed. We will not accept requests with “TBA” or "TBD" in any categories.
Note - All items on this form are mandatory and must be completed. You must provide at least one phone number.
Coach 1 - 1 ice session of 1.5 hrs
Coach 2 - 1 ice session of 1.5 hrs
Dev 1 - 2 ice sessions of 1.5 hrs each (on seperate days)