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AFLA Coach Application
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AFLA Coach Application
Please fill out this form if you are interested in being a coach with the Adanacs Field Lacrosse Association.
*
Name
Address:
Street Address:
City:
State/Province:
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Cook Islands
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Virgin Islands, U.S.
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Zip/Postal Code:
*
Email Address:
*
Phone Number:
*
Age
Indicate the team you are applying for
Please Choose Something
U7 Field
U9 Field
U11 Field
U13 Field
U15 Field
U17 Field
U19 Field
U7 Women's Field
U9 Women's Field
U11 Women's Field
U13 Women's Field
U15 Women's Field
U17 Women's Field
U19 Women's Field
*
Indicate coaching position
Head Coach
Assistant Coach
Manager
Indicate name(s) of Head Coach or Assistant Coach you wish to work with
*
Indicate N.C.C.P levels you have completed
No Certification
Technical 1
Theory 1
Practical 1
Technical 2
Theory 2
Practical 2
*
N.C.C.P #
Last team coached
*
Do you anticipate having a child on the team you are applying to coach?
Yes
No
If yes, will you coach the team only if your child is on the team?
Yes
No
Number of years coaching field lacrosse
If you have coached the BC Provincial Team, indicate number of years coaching and medals won (e.g. 2 years coaching, won Gold and Silver)
If you have coached a high school team, indicate number of years coaching and medals won (e.g. 2 years coaching, won Gold and Silver)
Please add any additional information not covered above
or
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