Coach Registration Documentation
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Team(s)
*
What team or teams will you be coaching?
Coach Photo (Head Shot Only)
*
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Please make sure it is cropped shoulders up, no other people or other objects in photo.
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of
Introduction to Grassroots Coaching
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Upload screenshot of email or completion screen confirmation.
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CDC - Heads Up Concussion In Youth Sports
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Upload certificate of completion.
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SafeSport (Required for all levels)
*
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Upload SafeSport Certificate. Make sure we can see the 32 digit code on the certificate.
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Submit
Should be Empty: