Last Updated: July 21, 2017

2017 Coaches Clinic Online Registration

Applicant Information
* First Name:
* Last Name:
* Email **Verification required**:
* Phone number (cell or home):

* Chapter Name:

* Position Held:
If multiple positions are to be held, please submit only one form for the primary position. Only 1 ID card will be issued.

* Division of Play:

* Team Division:

* Coaches Clinic Dates:

Requirements for clinic
All coaches must complete Concussion Certification Training Course and turn in their concussion certificate at time of clinic or email to scjaafmzad@hotmail.com. Please specify chapter you are with   *

All coaches attending clinics must have approval submitted by their Chapter President and/or Commissioner
Check-In for all clinics begins at 8:00 am

I certify that I have read and agree to follow all rules and guidelines, set forth by my chapter and SCJAAF

****PLEASE BE SURE TO PRINT OUT THE RULEBOOK AND BRING TO COACHES CLINIC- YOU WILL FIND IT UNDER FORMS AND HANDOUTS ON THE WEBSITE



I AGREE TO ALL OF THE ABOVE   *

* required