Registration & Fees
COACH ZAUNER, LLC - ONLINE REGISTRATION FORM
  1. Coach Zauner Welcomes The Opportunity To Work With You.

    Whether you are looking to attend a ONE on ONE Lesson, Camp or Combine, Coaching the Coaches or to schedule a 60 Minute On-Field Evaluation with Coach Zauner you are in the right place.

    Within 5-7 business days of submitting this registration an invoice will be generated and e-mailed directly to participant.

    A 25% deposit is required within 5 business days from the date of the Coach Zauner, LLC invoice to hold your requested date(s).

    NO PAYMENTS WILL BE ACCEPTED WITH THIS REGISTRATION.

    All date requests and schedule changes must be submitted and approved by Coach Zauner.


    ARIZONA ONE on ONE Lessons - Optional Hotel Accommodations:

    Lexington Hotel & Suites - Ask For 'Coach Zauner' Rate (480) 837-6565
    Inn At Eagle Mountain (480) 816-3000
    Marriott Courtyard (480) 860-4000

    WISCONSIN ONE on ONE Lessons - Optional Hotel Accommodations:

    Ask For 'Coach Zauner' Rate
    Hyatt Place Milwaukee Airport (414) 744-3600
    Radisson Hotel Milwaukee West (414) 837-2009
    Crown Plaza Milwaukee / Wauwatosa (414) 389-8562

    Safe Travels…

    Please Fill Out Form COMPLETELY

  2. Select Program(*)



















    Please specify your position in the company
  3. REQUESTED DATE(S)
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    ie:6/18/2012 or 6/18/2012-6/21/2012
  4. FOR SPECIALIST'S & COACHES:
  5. First Name:(*)
    Please type your first name.
  6. Last Name:
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  7. Cell Phone:
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  8. Address 1:
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  9. Address 2:
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  10. City:
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  11. State:
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  12. Zip:
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  13. E-mail:(*)
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  14. School Name:
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  15. CLIENT INFORMATION (FOR SPECIALISTS ONLY):
  16. Specialist's Position







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  17. Height:(*)
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  18. Weight:(*)
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  19. Shirt Size: (Excludes Evaluations)





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  20. College Class:









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  21. SPECIALIST'S COACH INFORMATION:
  22. Name (First Last):
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  23. E-mail:
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  24. SPECIALIST'S AGENT INFORMATION:
  25. Name (First Last):
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  26. Phone:
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  27. E-mail:
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  28. ADDITIONAL COMMENTS:
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    Note any pertinent information you would like us to be aware of related to attending a Coach Zauner, LLC Program.
    This might include any noteworthy stats or post-season awards in kicking, punting or long snapping you have received.

  29. SPECIALIST'S PARENT/GUARDIAN INFORMATION:
  30. Name:
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  31. Home Phone:
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  32. Cell Phone:
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  33. E-mail 1:
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  34. E-mail 2:
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  35. SPECIALIST'S HEALTH INFORMATION:
  36. Insured By:(*)
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  37. Policy #:(*)
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  38. Do you have any physical restrictions, medical issues, allergies and/or medication requirements?(*)

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  39. If yes, please describe in the box below:
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  40. By completing and submitting this registration you are in agreement and accept the terms of the Coach Zauner, LLC Media Release.
  41. MEDIA RELEASE(*)

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  42. TERMS AND CONDITIONS FOR ATTENDING A COACH ZAUNER, LLC PROGRAM:
    * Program will be held regardless of inclement weather conditions.
    * Program will be re-scheduled if cancelled due to extreme act of nature (Coach Zauner, LLC will offer no refunds).
    * Program rules covered at first Coach Zauner, LLC meeting.
    * Discipline problems will not be tolerated. Alcohol and all illegal drugs will be prohibited.
    * Offenders will be dismissed without a refund.
    * Registrants will be liable for any damages they cause while attending a Coach Zauner, LLC Program.

    Deposit and Payment Method: Non-refundable twenty-five (25) percent deposit required on all One on One lessons.

    Cancellation Policy:

    Lesson Cancellations: Client entitled to re-schedule one time during 90 day period as long as cancellations are made more than 21 days prior to lesson.

    Camp Cancellations: All camp cancellations 72 hours or less will be subject to $350 cancellation fee.

    Combine Cancellations: Full payment due upon registration with 50% refundable if cancellation is requested, received and acknowledged -in writing- at least 10 days prior to event.

    Lessons, Camps and Combines are held at outdoor facilities and will be conducted regardless of weather conditions.

    If you are attending a Coach Zauner, LLC Program, you understand and agree to these conditions ('Yes' must be checked by all registrants wishing to participate in any Coach Zauner, LLC Program):
  43. HOLD HARMLESS AGREEMENT: YOU HEREBY CERTIFY THAT YOU HAVE READ THIS DOCUMENT AND THAT YOU FULLY UNDERSTAND ITS CONTENT. YOU ARE AWARE THAT THIS IS A RELEASE AND WAIVER OF LIABILITY AND A CONTRACT. YOU HEREBY VOLUNTARILY SIGN IT OF YOUR OWN FREE WILL. By completing and submitting this registration you are in agreement and accept the terms of the Coach Zauner, LLC Consent, Waiver and Hold Harmless Agreement ('Yes' must be checked by all registrants wishing to participate in any Coach Zauner, LLC Program):
  44. I Agree(*)

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  45. PAYMENT INFORMATION
    (check program details for payment requirement):(*)

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  46. Make Check Payable To:

    Coach Zauner, LLC


    Mail Check To:
    Coach Zauner, LLC
    15132 E. Cholla Crest Trail
    Fountain Hills, AZ 85268

    Electronic payment available, UPON EMAIL RECEIPT OF A COACH ZAUNER, LLC INVOICE just click on the Intuit Bill Pay link ON YOUR COACH ZAUNER, LLC INVOICE. It's a secure, quick and easy method to remit payment, no additional on-line fees apply.

    Michelle Zauner
    612.803.1731

    All Rights Reserved - Coach Zauner, LLC
  47. CONFIRMATION:(*)
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    Please enter your name in full to signify the above information is correct and you agree to the Coach Zauner, LLC Terms and Conditions set forth ('Box' must be filled in by all registrants wishing to participate in any Coach Zauner, LLC program):
  48. Type The Letters Shown(*)
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