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SVPC Certification Interest
Please use the form below to sign up for a D1-C2 certification. For HB/C3 and up certifications members must sign up with the National Office.
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Indicates required field
Name of SVPC Member
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First
Last
Current Certification
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Email
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I am interested in the following certification
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Please specify D1 to C1 and indicate if you plan to do HM/Traditional/Flat/Jumping or Specialty Track Certification. For C2 certifications you must register with Capital Region and for HB/C3 and above you must register through the USPC website.
Phone
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Name of Parent Coordinating Scheduling
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Please list any time constraints or comments for the coordinator below.
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Submit
