Mike-Small.com - A.S.E.P. Coaching Certification Registration Form

*CLOSE THIS WINDOW TO RETURN TO MIKE-SMALL.COM*

Facing a shortage of teacher coaches, the Illinois High School Association passed legislation in 1990, permitting non-teachers to coach if they passed an approved coaching training program. Mike Small has been a certified American Sports Education Program instructor for over a decade and offers the A.S.E.P. clinics at various locations throughout the year. Mike has certified more coaches than any other instructor in the nation. He was recognized by the National Federation of State High Schools as the top Coaching Education Instructor in the Nation (Pat McSwegin Award 2003).

Any person intending to coach at a high school, as an ASEP-trained non-faculty coach MUST have successfully completed the ASEP, (11 hour training seminar Sports Science/First Aid) Leader Level Program. This is madatory by the Illinois High School Association and Wisconsin Interscholastic Athletic Association. The Indiana High School Athletic Association only requires the Sports Science course.

Each Participant will be provided with the following:

Bronze Level Requirements

Experienced professional instruction with follow-up support

Textbooks, Study Guides, and Workbooks

IHSA informational guidelines and test

Test processing (ASEP and IHSA) online or traditional (paper & pencil)

Diploma upon successful completion

Entry into the ASEP National Coaches Register of Certified Coaches

Continental breakfast, snacks, drinks, and "Homemade" Lunch will be provided

REQUIREMENTS TO BECOME A CERTIFIED HIGH SCHOOL COACH IN ONE DAY!

TIME:	Begins at 8:00 a.m.
COST:	Pre-payment - $220.00	At the Door - $230.00 (Cash or Money Order)

You will not recieve any further information, as your cancelled check is your confirmation.

Make Checks payable and mail to:

Coaching Certification / Mike Small Inc.
1716 Larch Drive
Mount Prospect, IL 60056-1647

Current Prices

COST:

Pre-payment - $220.00

At the Door - $230.00

Clinic Attending - Date __________ Location _______________________

NAME_________________________SOCIAL SECURITY #__________________

ADDRESS_____________________CITY____________________ZIP_________

PHONE (H)___________________________(W)_________________________

EMAIL __________________________________________________________

SCHOOL INTENDING TO COACH AT________________ SPORT______________

(Check date and location) If you plan to pay at door ($230.00) you must call and confirm so we may order books and tests.

For directions, click on the locations below.

CHECK Day Date Location City

_______ Sun. Sep. 12/10 Queen of Peace H.S. Burbank, IL

_______ Sun. Oct. 17/10 Lincoln-Way East Frankfort, IL

CHECK	Day	Date	Location	City
_______	Sun.	Sep. 12/10	Queen of Peace H.S.	Burbank, IL
_______	Sun.	Oct. 17/10	Lincoln-Way East	Frankfort, IL