United States Track & Field and Cross Country Coaches Association (USTFCCCA)

U.S. Track & Field and Cross Country Coaches Association (USTFCCCA)

Continuing Education Units (CEUs)

First name (required) *

Middle name/initial (required) *

Last name (required) *

Any prior last names?

Home street address (required) *

Street Address
Street Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Email address *

Mobile telephone number *

Area Code Phone Number

Date of birth (required) *

Month Day Year

Country of citizenship (required) *

Social security number (for U.S. Citizens or legal residents)

How did you hear about us? *

By pressing the 'Submit' button below, I hereby affirm that the information provided is true and accurate. I also understand applications are only deemed submitted when my payment has processed. Successful processing of payment will be considered my signature on this document.

Select Choice(s)

Track and Field Technical Certification Course (TFTC) (201)- 2 CEUs $ 100.00

Track and Field Technical Certification Course (TFTC) online version (251)- 2 CEUs $ 100.00

Sprint, Hurdle, and Relay Event Specialist Certification (302)- 4 CEUS $ 200.00

Jumping Event Specialist Certification (303)- 4 CEUS $ 200.00

Throwing Event Specialist Certification (304)- 4 CEUS $ 200.00

Endurance Event Specialist Certification (305)- 4 CEUS $ 200.00

Combined Event Specialist Certification (306)- 4 CEUS $ 200.00

Strength and Conditioning Certification (310)- 2 CEUs $ 100.00

Total $ 0.00

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country