INSTRUCTIONS FOR USING FORM

VOLUNTEER COACH / MANAGER REGISTRATION FORM

NAME:________________________________________________
ADDRESS:_____________________________________________
_______________________________________________________
PHONE: Home __________________Work___________________
EMAIL:_______________________________________________
BIRTH DATE: dd/mm/yy    __ __ / __ __ / __ __
NCCP REGISTRATION #________________________________
NCCP CERTIFICATION LEVELS:
            TECHNICAL_____________________________________
            THEORY________________________________________
            PRACTICAL_____________________________________

What is your primary reason for wanting to Coach?
______________________________________________________

When are you available?_________________________________
______________________________________________________

What coaching position(s) are you interested in? 
Underline your choices.    We require (number required):

Elementary Co-Coach   (3)              Middle School Co-Coach  (2)
Elementary Manager    (1)              Middle School Manager   (1)
    
Secondary School Co-Coach  (2)         Elementary In-school
Secondary School Manager   (1)            Coaches      (13)

(See web page for days and times of each age group.)
http://members.shaw.ca/COWA/registration.htm