Coaching Centre
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Please complete the following form to register:  

NOTE: If you have already registered,
please LOGIN at the left to REGISTER for a CLINIC.

* username:

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* password:

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Password must contain at least 8 characters,
contain at least 1 number,
contain at least 1 capital letter,
contain at least 1 lowercase letter
NCCP Number:
(if known)

* First Name:
* Last Name:
* Address:
* City:
* Province:
* Postal Code:
* Phone:
* email:
* Gender:
     Male         Female
* Preferred Language:
     English         French
* Birthdate:
Your Local Association:
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