Coaching Application
First Name
*
Last Name
*
Membership Serial Number
*
Applicants must have a current membership to apply. This is the 8 digit number on your membership card in the lower left.
Email (this must also be the email you log into your USABMX account):
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Street Address
*
Street Address Line 2
City
*
State/Province
*
Postal Code
*
Country
*
Please read each statement and check the box to agree with each statement:
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I understand that I must be at least 18 years of age to become a USA BMX Coach
I understand that I have to submit my background check to USA BMX every two years.
I understand that I must submit a copy of my Adult and Pediatric CPR Certification.
I understand that if I complete an online CPR certification, I must also complete an in-person training to be fully certified.
I understand that I must complete the Abuse Prevention Systems Sexual Abuse Awareness Training program.
I understand that all coaches are now required to have an active USA BMX Membership License.
I understand that it is my responsibility to keep my USA BMX Coaching License current along with my background check, Sexual Abuse Awareness Training, and my CPR and First Aid Certifications.
I understand that the primary purpose of this coaching program is to help develop and implement a consistent new rider program that will encourage them to return to the track more often.
I understand that as a coach my actions will reflect on my local track and I will maintain a professional presence at the track at all time.
I understand that I will not receive my coaching certification until I have completed the all of the program requirements including submitting a New Rider Program (Lessons / Clinics / League) is published on my track's schedule.
I understand that I will still have to follow all Coaching Renewal policies to renew my coaching license after I renew my regular USA BMX membership.
I understand that my coaching license will expire the same day as my USA BMX membership license and I will have to submit a coaching renewal application to reactivate my license.
Signature
*
Submit
Name
*
First Name
Last Name
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Should be Empty: