Coach Registration Documentation
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Team(s)
*
What team or teams will you be coaching?
Coach Photo (Head Shot Only)
*
Browse Files
Please make sure it is cropped shoulders up, no other people or other objects in photo.
Cancel
of
Introduction to Grassroots Coaching
*
Browse Files
Upload screenshot of email or completion screen confirmation.
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of
CDC - Heads Up Concussion In Youth Sports
*
Browse Files
Upload certificate of completion.
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of
SafeSport (Required for all levels)
*
Browse Files
Upload confirmation of completion.
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of
Submit
Should be Empty: