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Urbana Rec Coaching Registration
COACH INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
*
State:
*
Zip Code:
*
Date of Birth (required for background check):
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*
Cell Phone:
Home Phone:
Work Phone:
*
Email:
*
Age group interested in coaching:
Coed U8 1st/2nd grade
3rd/4th grade boys
5th/6th grade boys
7th/8th grade boys
9th/10th grade boys
11th/12th grade boys
3rd/4th grade girls
5th/6th grade girls
7th/8th grade girls
9th/10th grade girls
11th/12th grade girls
5th / 6th grade TRAVEL Girls
5th / 6th grade TRAVEL Boys
11th/12th grade girls
If you are interested in coaching more than one age group please specify here and or please provide your coaching experience. Thank you!:
Coaches Code of Conduct- I have read and agree to abide by the Coaches Code of Conduct in the FORMS / HANDOUTS section of this website.
*
Coach Background Check- I understand that I must submit at the time of this registration a background check request to URC and must pass this check before I conduct my first practice of the season.
*
* indicates required fields