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Futures Site Registration
Futures Site Registration
Member Information
Confirm & Checkout
2021 Nexus Program
Staff - California
1/1/2021 - 7/31/2021
Region Information
SITEStaff - California
Regional Manager (RFM) - Mike Whitehead(805)501-7511  RDM11@usafieldhockey.com
Registration OptionPrice
Futures Financial Aid - 2021 $485.00  
 
Nexus Fee $520.00  
 
Nexus Fee $225 (CR-Completed 0 Sessions) $225.00  
 
Nexus Fee $260 (CR-Completed 1 Sessions) $260.00  
 
Nexus Fee $295 (CR-Completed 2 Sessions) $295.00  
 
Nexus Fee $330 (CR-Completed 3 Sessions) $330.00  
 
Nexus Fee $365 (CR-Completed 4 Sessions) $365.00  
 
Nexus Fee $400 (CR-Completed 5 Sessions) $400.00  
 
Nexus Weekend Advancement $0.00  
 
Individual Information
*Legal Name:    
Nickname
*Address
Address 2
*City
*State: *Zip:
*Country:
  I am a US Citizen
* Email:
* Phone:
*Birth Date
Gender
Additional Coaching Information
Coaching Experience: (Check all that apply)
LevelYearsList
  International
  College D1
  College D2
  College D3
  Club
  High School
  Middle School
  No Coaching Experience
Playing Experience: (Check all that apply)
LevelYearsList
  International
  College D1
  College D2
  College D3
  Club
  High School
  Middle School
  No Playing Experience
USA Accreditation
Coaching Availability
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