2017 Official KROC School Program & Training Registration
Register to be an official 2017 KROC Participating School and choose Coaches Training Date (Please note, you MUST be a Returning School or attend a New School Info Night prior to filling out this form)
School Name:
*
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Principal:
*
First Name
Last Name
Principal E-mail:
School Phone Number:
*
-
Area Code
Phone Number
How many years have you been an Official KROC Program?
*
Please Select
New School (have attended Info Night and Principal's approvals)
One (1) year
Two (2) years
Three (3) years
Four (4) years
Five plus (5+) years
Coach 1 Name:
*
First Name
Last Name
Coach 1 E-mail:
*
Coach 1 Cell:
*
-
Area Code
Phone Number
Coach 2 Name:
First Name
Last Name
Coach 2 E-mail:
Coach 2 Cell:
-
Area Code
Phone Number
Mandatory Coaches Training RSVP:
*
Please Select
Saturday, December 10, 2016 - SOLDOUT YOU WILL BE PLACED ON WAITLIST
Saturday, December 17, 2016
Saturday, January 7, 2017
Saturday, January 21, 2017
Number of Coaches attending training (MAX 2)
Coaches Training Waitlist:
I would like to bring more coaches, please add me to the waitlist.
Please enter the number of additional coaches you would like to bring:
Submit
Should be Empty: