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Course Request Form

Please submit the form below for request to host an MSYSA Coaching Education Course.

  • Form must be submitted at least 3 months prior to requested start date of course.
  • Submission of the form does NOT guarantee a course.
  • All requests will be reviewed.
  • Selection will be based upon market demand.
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Name of Person Submitting request
Primary Email Contact
League/Club Affiliation
Facility Name
Contact Name for Site/facility person
Facility Contact Email
Facility Contact Phone
Facility Address
Including City/State
Contact Name during event
Requested Dates
Alternate Dates
Please Select Course Level
E License Requirements: At least 5 - 7 hrs of lecture (required seating, AV capabilities, Wifi) Minimum attendance: 15; Max attendance 30.D License Requirements: 40+ hrs of course work. At least 10-14 hrs of lecture (required seating, AV capabilities, Wifi) Minimum attendance: 20; Max attendance: 24.
Charges for facility (per hour or otherwise noted)
Any additional information you would like to add
(not required)
If Course is cancelled, the Host facility understands that MSYSA will not be responsible for any expenses incurred. Further, MSYSA will expect a refund in FULL for any said deposits.
Check all data for Accuracy and click "Submit" >>