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  Enter a valid email address. Example: name@company.com League/Club Affiliation Facility Name Contact Name for Site/facility person Facility Contact Email  Enter a valid email address. Example: name@company.com Facility Contact Phone  Enter a valid phone number. Example: 123-456-7890 Facility Address Including City/State Contact Name during event Requested Dates Alternate Dates Please Select Course Level E Level - Requirements: 18hrs of course work. At least 5-7 hrs of lecture (required seating, AV capabilities, WiFi) Minimum attendance: 20; Maximum attendance: 30-35 D Level - Requirements: 40+ hrs of course work. At least 10-14hrs of lecture (required seating, AV capabilities, WiFi) Minimum attendance: 25; Maximum attendance: 30-40 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. I AGREE Check all data for Accuracy and click "Submit" >>