Resource Council of WNY COACH Program
The Resource Council of WNY COACH Program is a 5-on-5 basketball tournament that encourages league play for youth ages 11 - 13 and 14 - 17. Youth participants will engage in a fun, four-week, basketball competition that will take place on Wednesdays or Fridays from 6pm - 9pm (based on age category). An additional practice day will be offered to all participants on Mondays from 6pm - 9pm. COACH is an acronym for "Creating Opportunities and Access to Coaching and Healing," and a program component that will be unique to this initiative is that our young athletes will have direct access to culturally-appropriate, individual and group counseling services, as part of their league participation. Every player who completes the program will receive a COACH program certificate, league t-shirt and trophies for winning teams. Additional wraparound support services will also be available to youth participants and their families. Security will be provided by the MAD DADS organization. For more info, call 716-783-8259 or email info@rcwny.org.
Team Name (if you have one)
*
Team Age Group
Ages 11 - 13 (Games on Fridays from 6pm - 9pm)
Ages 14 - 17 (Games on Wednesdays from 6pm - 9pm)
Player
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell/Text Number
-
Area Code
Phone Number
Age
Skill Level
Beginner
Intermediate
Advanced
Parent | Guardian Point of Contact
First Name
Last Name
Parent | Guardian Point of Contact (Cell Phone)
-
Area Code
Phone Number
Parent | Guardian Point of Contact (Email)
*
Player 2
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell/Text Number
-
Area Code
Phone Number
Age
Skill Level
Beginner
Intermediate
Advanced
Parent | Guardian Point of Contact
First Name
Last Name
Parent | Guardian Point of Contact (Cell Phone)
-
Area Code
Phone Number
Parent | Guardian Point of Contact (Email)
*
Player 3
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell/Text Number
-
Area Code
Phone Number
Age
Skill Level
Beginner
Intermediate
Advanced
Parent | Guardian Point of Contact
First Name
Last Name
Parent | Guardian Point of Contact (Cell Phone)
-
Area Code
Phone Number
Parent | Guardian Point of Contact (Email)
*
Player 4
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell/Text Number
-
Area Code
Phone Number
Age
Skill Level
Beginner
Intermediate
Advanced
Parent | Guardian Point of Contact
First Name
Last Name
Parent | Guardian Point of Contact (Cell Phone)
-
Area Code
Phone Number
Parent | Guardian Point of Contact (Email)
*
Player 5
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell/Text Number
-
Area Code
Phone Number
Age
Skill Level
Beginner
Intermediate
Advanced
Parent | Guardian Point of Contact
First Name
Last Name
Parent | Guardian Point of Contact (Cell Phone)
-
Area Code
Phone Number
Parent | Guardian Point of Contact (Email)
*
Team Contact for COACH Program
First Name
Last Name
Phone | Cell Number for Team Contact
-
Area Code
Phone Number
Email Address for Team Contact
example@example.com
Name
First Name
Last Name
Signature
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