Empower Soccer COACH Application
ONLY fill out this form if you have never coached with Empower Soccer before. Returning coaches please email andrew@empowernoco.org and let him know that you would like to return as a coach for the upcoming season. Approved LEAD Coaches will receive a coupon code that can be used for ONE free child per team they coach and Assistant Coaches will receive a 50% off coupon.
Name:
*
First Name
Last Name
Email
*
example@example.com
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address (we need this for your background check):
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your experience as a coach?
Please Select
1. Never coached any sport
2. I have coached before, just not soccer
3. I have coached soccer at recreational level
4. I have coached at high school or select or college level
Are you over 21yrs of age?
*
Yes
No
Are you willing to allow Empower Soccer to do a background check on you?
*
Yes
No
Are you willing to do some preseason coach training?
*
Yes
No
Do you have a child that you plan to register/or is registered as a player (if yes please provide their name) ?
*
What grade are they in?
Please Select
PreK
K
1
2
3
4
5
6
If you have a specific team that you want to help coach please enter some details on that team (age, head coach, gender, etc.):
PLEASE NOTE we only require one lead and one assistant coach per team. If coach slots are full for the team you request, you will be placed as an lead or assistant on another team.
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