Coaching Registration Form

Coaching Registration Form

Please complete this form to register as a coach with our organization.

Personal Information

Name

    Date of Birth

      Email

        Phone Number

          Address

            Emergency Contact

            Name

              Phone Number

                Coaching Experience

                Previous Coaching Experience

                  • No experience

                  • 1-2 years

                  • 3-5 years

                  • 5+ years

                  Sports You Can Coach

                  Check all that apply

                    • Soccer

                    • Basketball

                    • Baseball

                    • Tennis

                    • Swimming

                    • Volleyball

                    Preferred Age Group to Coach

                      • 5-10 years old

                      • 11-14 years old

                      • 15-18 years old

                      • Adults

                      Coaching Qualifications

                      Do you have any coaching certifications?

                      If yes, please specify:

                        Have you completed any first aid or CPR training?

                        Preferred Coaching Schedule

                          • Weekdays

                          • Weekends

                          • Flexible

                          Health Information

                          Do you have any pre-existing medical conditions we should be aware of?

                          If yes, please specify:

                            Waiver & Consent

                            • I hereby consent to participate as a coach in the program organized by [Your Company Name]. I understand that coaching involves responsibility and may include physical activity, and I take full responsibility for any potential injury or risk involved.

                            Signature

                            Name:

                            Date:

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