Name as on USAV Membership *
Clinic Attending *	Dec 18 6-930pm St Patricks Iowa City, IA  Jan 23 6-930pm Kennedy HS, Cedar Rapids
Step 1 Webinar Attending. Step 2 below is required.	Jan 6 6-10 pm  Feb 12 6-10 pm
Year of Birth *
Email *
Phone *
Address
City, State & Zip *
Club or Team Name
IMPACT manual needed	Yes  No
Please type the letters and numbers shown in the image.
	Click the image to see another captcha.

IMPACT WEBINAR STEP 2

To attend an IMPACT Webinar clinic you must also register at the online webinar site.  Only so many online seats are available and you must complete the registration at the Go to Meetings site as well as above.

• Jan 6 Webinar clinic click the following link. https://www3.gotomeeting.com/register/256336646

• Feb 12 Webinar clinic click the following link https://www3.gotomeeting.com/register/198665526