Instructor Application Online Form

Instructor Application
MEMBERSHIP BENEFITS:

√ Annual Instructor-Coach Membership package to include certificate, pool pen and membership card.
√ Sanctioned Player Membership to ACS – directly supports the growth and future of cue sports.
√ Qualified to use the PAT Testing system and to become a PAT Examiner
√ Listing on ACS website
√ Student referrals
√ Receive regular updates on the program and the ACS through email
√ Eligibility to compete in the ACS National 8-Ball Championships (Singles only if not an ACS league member).
√ Eligibility to compete in the ACS National 9-Ball Championships (Singles only if not an ACS league member).
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Mobile Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Membership*

NewCurrent/RenewalExpired
Expiration Date (required only if renewing):

MonthDayYear
Available Levels:

Level 1:$35.00

Level 2:$50.00

Level 3:$75.00

Level 4:$100.00

Please select the appropriate level you are applying for below.
what level are you applying

Level 1 ($35.00)Level 2 ($50.00)Level 3 ($75.00)Level 4 ($100.00)
ONLINE PAYMENT
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Instructor Annual Fee$35.00
Annual Membership runs from June 1 - May 31st. If you received an invoice, with a different amount other than a specific level fee, please call Stacey at 210-326-8908 to make your payment.

Instructor Levels
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