Coach/Instructor Agreement

Coach/Instructor Agreement
Sport Club*
Year:*
Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home/Cell*

Area CodePhone Number
Email*
example@example.com
Background and Expertise:*
Document Upload

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*Certifications / Credentials / Other Documentation Cancelof
Signature*
Date*

MonthDayYear
Date
My signature indicates that I have read and understand the preceding guidelines regarding serving as a coach/instructor for a SIU sport club.
Should be Empty: