Clinic Coaching Interest
Name
*
First Name
Last Name
Age:
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please select your coaching role: volunteer or paid coach.
Please Select
Paid Coach
Volunteer Coach
Please note you must be at least 15 years old to be considered for a paid coaching position and you must be 13 years old to be considered for a volunteer coaching position.
Emergency Contact/Parents
First Name
Last Name
Emergency Contact/Parents Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Coaching Schedule
Please select your preferred Saturday and Sunday sessions. Your selections will help with scheduling but do not guarantee assigned sessions or hours. The Lead Coach will make the final determination of weekly schedules and hours.
Saturday currently has two sessions: 9:00–10:00 and 10:05–10:50. We have requested a change to 10:00–11:00 and 11:05–12:00, so both possible schedules are listed below. Please select your preferred sessions under either schedule. Only two Saturday sessions will be held.
Rows
9 AM - 10 AM
10 AM - 11 AM
11 AM - 12 PM
10/10
10/17
10/24
10/31
11/7
11/14
11/21
12/5
Please select your preferred Sunday sessions.
Rows
10 AM - 11 AM
11 AM - 12 PM
10/11
10/18
10/25
11/1
11/8
11/15
11/22
12/6
Submit
Should be Empty: