Volunteer Candidate Registration Form

Volunteer Coach Form
Full Legal Name*

First NameLast Name
Birth Date*

MonthDayYear
Drivers License#*
Drivers License State*
Upload Drivers License*

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Previous Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
First Aid Training*

YesNo
CPR Training*

YesNo
Have you played sports? (When, where, at what level?)*
How would you describe yourself as a youth sport coach?*
What is your coaching philosophy? (Winning, having fun, discipline, team work, etc..)*
Are you willing to take direction from the Coaching director*

YesNo
Are you willing to enforce and promote Scorpions Elite Code of Ethics for Coaches, Players, and Parents?*

YesNo
Signature*

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Volunteer Coach Form