Fanntastic Sports Track & Field

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Coaching Application

COACH INFORMATION

* First Name (legal name):

* Last Name (legal name):

* Street:

* City:

* State:

* Zip Code:

* Home/Cell Phone:

* Best way to be reached:

Gender:

* Birthdate:

* What sports have you coached before?:

* How many years of coaching experience do you have?:

* What age groups have you coached?:

* What sports did you play?:

* What level of sports (little league, high school, college, etc...)?:

* Why do you want to coach?:

* What track and field events would you like to coach?:

* Will you be able to commit to our practice days, times and track meets?:

* What days are you not available to coach?:

* Name of athlete(s) you are related to?:

* Relationship to Athlete:

* T-Shirt Size:

* Tank Top Size-female:

* Dri-fit T-shirt ($21):

WAIVER INFORMATION

I, hereby give my approval for the above-named to participate in the Fanntastic sports summer track program. I assume all risk and do hereby waive, release and agree not to hold Fanntastic sports, coaches, the organizers, sponsors, supervisors, and participants responsible for any injury that may be incurred while participating in the program. I hereby give consent for emergency medical care prescribed by a duly licensed doctor of medicine or dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent. I do hereby fully and freely consent to the use of the participants photograph for promotional purposes on both printed materials and websites. I do hereby release and hold harmless Fanntastic sports from any liability arising out of said participation in a publication, advertisement, and/or promotion.

* Coach Name:

Amt Pd:$_________ Receipt#: _______________
Amt Pd:$_________ Receipt#: _______________
Amt Due:$________ Receipt#: _______________

* indicates required fields

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Coaching Application