Test Magazine Volume 1 | Page 19

January 7 – 8, 2005 Louisville, Kentucky Kentucky International Convention Center Name __________________________________________________________________ Employer’s name ________________________________________________________ NSCA member # (if applicable) ______________________________ Are you a ? CSCS® or ? NSCA-CPT® ? Mailing address __________________________________________________________ ________________________________________________________________________ City___________________________________ State ________ Zip_________________ Phone_________________________________ Fax _____________________________ Email address ___________________________________________________________ Personal Interest (check all that apply): ? Football ? Baseball ? Other _______________________ What is your primary job responsibility (check only one): ? S&C Coach ? Athletic Trainer ? Phys. Therapist ? Personal Trainer ? Educator ? Student ? Sport Coach—specify sport __________________________ ? Other _______________________ T-shirt size: ? S ? M ? L ? XL ? XXL ? XXXL Manuals & T-Shirt are not assured for those registering after December 1, 2004. ? Please check here if you require special accommodations. Attach a written \??\[??[?\??YY??[Y\??[??H??X? ?[YK??H?H??????????????????????????????????????????????????????????T?S??H?QT??????H??? ???X? H8?$? ?? ? ??Y?\?X? ???\?]H?HB?????HY[X?\????dH ML???dH M?B???dH ?L???Y[?Y[X?\????dH L?B???dH ML???dH ?L???dH??[Y[X?\??]?Y?YH\???H Y L H??H?K^YX\???X?\?Y?YY??\??[?[Y[X?\??\ ?[??]Z[?B??dH?Y\?\??8?dH ?H ??Y\?YZ\??[??H^X?][[??X?\[??JB??[YH??Y\??Y?H?????????????????????????????????????????????????????????????????T??Q?ST??USB??????H??? ???X? H8?$? ?? ? ??Y?\?X? ???\?]H?HB?????HY[X?\????dH ?B???dH L ???dH M?B???Y[?Y[X?\????dH MB???dH  ???dH M ???RU?T?S??SPT?B??PP?SUHS??T??STS???T??[????Y\?][???Z[??[??Y?\?X?\]H[?H???H ? B??? T?X?{? X??Z[?[?????\?[??K [??Y[???]??[Z]Y?B?[?H?[Z[?\??[?X?^X?] ?[[???][???X?Y[????X?[?\?]?] H]?[? HH[?\??Y?Y][?YH\?X?B?^?\??H?Z]?\?[??[X\?\????H]?YZ[?\??]??\?X????Y?[???? X?\????[?Y\??[?[\?YY\??\?\?X?\[??[?B??????Y?\?\?\??[?Y?\X?X?K??\??[?\??????[Z\?\?[??X?HX?]?]HZ?\?X?H???H[?HXX?[]K???\??[XY?\?[??\?Y\? [??Y[??\?X?[]H?X] HX?[??[?[??]\?\??X?[???Z[\??]??]?\??[?H?[???]\?K\?\?[?????K?[?[?HX[??\??[]Y?][?Yx?&\?\?X?\][?[?B?]?[? ?\??Z]?\?[??[X\?H?[[?\?H?H?[?{? ]?B?\??Y????X??\????????H[??[?H?[?[??\?HZ\????X??\?????][?YK?][?YH?X?{? X?[H[?\??[??]?][?[??H]?\?X?\][?[?[?HX?]?]H\?]][?Yx?&\????[???H?\??][?YH?X?{? X?[HX????Y?\?\?^\?Y[??B?[??\X?[]Y\?[??[Y]?\?H\?]X[{? YY?\?X?\]H[?[?B??X?X?]?]H??\?Y?HH???K?][?YH?[H[?\??[??]?\?X?\][?[?[?H?[??[??X?]?]H?]??\?Z[?[????\??\???[?[??\??[?X^H?\?[[??\?[?\???[H[??\?K[??Y[??\?X[?[?\?X?[]K\?[\?\?[? ??X] ?][?YH[?\??[??]?X??\???[?[??\??X^H?H?]\?Y?H\????X?[???[?X?[?HX?[???[?X?[???\??\?X?\][??[?HX?]?]KH??][?[??X?HX?]?]HZ?\?X?H?B??Y?Y?[??H?H?[X\?\??X?{? X?[HH???H[?]?Y?[????[\?YY\??]?[???Y?KH][?YH?[HX??\?[??\??[Y\?[?X??\???[?[?\???X?[]H?????\?????[??[XY?\?[??\??Y\?H?\?[?\?\?X?\][?[?H]?[? ?[?B??[???]\?H?]??]?\??][?YH?\?\?Y?Y\?]Y?\?]B?\??[X\?KH?[?[?H?\??Z[?XZ?\?H?Z[HY?Z[??[?B??H?[X\?Y\??[YY\?Z[?][?YH?[[?[[?Y?K?]?H[???\?[\??XX??H?[X\?Y\????H[?H]Y?][?^[??\??]??^x?&\??Y\????XX?[]K[XY?K[??\?H [??Y[??\?X?[]H??X] H????[?H?[HX^H[??\?\?H?\?[?[?H?X??Z[K??][?YHX????Y?\?]?H?Y?\?\?[????\????\?[??HB?\??XY\?Y?Y[Y[? ?[H[?\??[??]\?\?[?\??[?]H\??]?[?\?X??[?X[?Y???H?Y?[??] [?\??Y?Y?]??Y[H[??]?][?H[?X?[Y[??\??\?[??H?[?H?]\?K?[?[?[???[YH??HH??\]H[?[???][?[?[X\?H?[?XX?[]H?H?X]\?^[?[??Y?HH]??H?]H[???X??X?X?]?]H\???X?Y[? ?\?\?Y?Y\?]Y?[?B??[??\?Y?Y[Y[?\?[??H[??[Y]H?[[??K????]?[?[???[??[?YH[??[???H[?Y??X? ????SS????Q ??dH?X??^XX?H????B???dH?\?B???dHX\?\??\???X?? ????dH[Y\?X?[?^?\???]B??[?Y?[YB??^ ?]B??Y?]\?B??Y?[??X?H[?Y?[??\]Y\??]\??H?X?Z]Y[??][??XZ[ ?^ [XZ[ H[???[?]HH?X\?????[??[][??????Q?S???S?HP??TQ?PHST?HB??(??[?Y?[?\?? ?Y???X\??Y?H??? MK ? ???(? L H?Y?[?Y???X\??Y??? M?8?$?X? MK ? ???(????Y?[??[?H?]?[?Y?\?X? MK ? ????Y?]\?B????\]H??H[?XZ[?????H8?(? N H?????????8?(??????[????? L ???V??H? ?H ?NKM??M????Q?T?T??S?H]??????K[Y? ???[ N MKM? ????[?H[???X][???