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Upward Basketball Coach and Referee Application
Please complete this Coach and Referee application along with a current Background check to be eligible as Coach or Referee. **The Background check can be located on
. Scroll to the bottom of the page and download the form, fill it out and turn it in to Kylee Cain at Central Baptist Church. Please Note on it Upward Coach, Cheer Coach or Referee.
I'd like to help with.. (mark all that apply)
Assistant Basketball Coach
Assistant Cheer Coach
Applicants First Name:
Applicants Last Name:
Date of Birth
Applicants State and Zip:
Applicants Contact #:
Applicants Contact # 2:
Are you a member of a local Church
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