Upward Flag Football Coach & Referee Application 2019

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Home Phone*

Cell Phone

Email*

Are you a member of a local church?*

If yes, where?

Gender*

Date of Birth*

I would like to be a/an: *

What is your preferred practice day?*

Select the age group you prefer to coach*

What is your shirt size?*

Please list your children's name and grade who will be participating in this year's Upward league

Do you prefer to coach your child's team? If so, which child?

Notes

Have you ever coached Upward Flag Football?

Have you made a personal commitment to Jesus Christ?*

Please share a little about your relationship with Jesus Christ.

Please select which Training Clinic you will attend*

Please select an evaluation date which you are available to volunteer.*

I understand that any negative personal habits (smoking, alcohol, profanity, etc) may have a negative affect on a child's spiritual development. Understanding that the children on my team have been placed under my guidance, I commit to setting a worthy behavioral example for them to look to.*

Today's Date*

Upward Coach & Referee Application 2019