Registration 2024 Season

COACH REGISTRTION

Coach Checklist

✔️ Complete online registration

✔️ DOJ Live Scan (new coaches only)

✔️ Current CPR and First Aide Certification

✔️ Copy of valid Driver’s License

✔️ Copy of valid car insurance

✔️ *Complete USA Football Certification

✔️ *Complete YCADA Certification, cheer coaches

Fill out the form below in its entirety. Once the information is complete, click to Submit Form.

Registration Sport:

Registration Division

Coaching Position

Coach Information

Name

First Name

Last Name

Address

Primary Residence

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Birth Date

YYYY

Gender

Male

Female

Are you a returning coach?

If yes, last years team level, number of years coaching

Emergency Contact Name

First Name

Last Name

Phone

(###)

###

####

Doctor Name + Phone

Preferred Hospital

Insurance Provider

Insurance ID and Group ID:

Known Allergies, please explain

List any current medications:

List any previous or existing medical conditions:

COACH REGISTRTION

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