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Old Glory Coaches Club Membership Form
Thank you for your interest!
Upon submitting your form, you will receive a confirmation of receipt within one (1) business day.
Following review by our coaching staff, you will then receive an invoice for payment, due upon receipt.
* Indicates required question
Email
*
Your email
Name
*
Your answer
Phone Number
*
Your answer
Coaching Position
*
Head Coach
Assistant Coach
Administrator
Other
If Other, please explain.
Your answer
Club or team who you coach for?
*
Your answer
How long have you been coaching?
*
Your answer
Are you located within the Washington Metro area?
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Yes
No
What would you say are your coaching strengths?
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Your answer
What would you say are your coaching weaknesses?
*
Your answer
What are you specifically looking to learn in this program?
*
Your answer
What specialty are looking to go deeper into as a rugby coach?
Scrums, line-outs, attack, defense, etc.
*
Your answer
Will you sign a non-disclosure agreement
stating that you will adhere to the sensitivity of the information learned in this program?
*
Yes
No
Do you currently play rugby?
*
Yes
No
If yes, for who and what position?
Your answer
What size t-shirt are you?
*
XS
S
M
L
XL
XXL
XXXL
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