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Potomac Valley Track Club Young Flyers youth track & field program coach application
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* Indicates required question
My Name
*
Your answer
My E-mail Address
*
Your answer
My Phone Number
*
Your answer
My Mailing Address
Your answer
City
Your answer
State
DC
MD
VA
Other:
Clear selection
ZIP
Your answer
PVTC member?
Yes
No
Clear selection
Events
Beginning Sprint (1st-2nd grade)
Advanced Sprint (1st-2nd grade + specialists)
Middle Distance (3rd, 4th, 5th grade)
Beginning Long Distance (6th, 7th, 8th grade)
Advanced Long Distance (6th, 7th, 8th grade + specialists)
Throws - shot put
Throws - turbo-javelin (plastic)
Race Walk
Hurdles
Name Tag Administrator (arrive at 2:40 PM to set up)
I am a USATF-certified coach
Level 1
Level 2
Level 3
Other:
My USATF membership ID number
*
Valid for 2022
Your answer
I have completed background screening by USATF / TClogiq
*
Step 1: Please see
http://www.usatf.org/Resources-for---/Coaches.aspx
Step 2: Please see
http://www.usatf.org/About/Programs/Background.aspx
Yes
Soon
Required
I have completed USATF Safe Sport program
Free! Please see
http://training.teamusa.org/store/details/1
Yes
Soon
Clear selection
I will coach on these Sundays:
*
October 2
October 9
October 16
October 23
October 30
November 6
November 13
November 20
November 27
December 4
December 11
Required
I am a high school student, and I want to serve as an assistant coach
(Our event director gladly writes letters of recommendation and service certifications
Yes, 9th grade
Yes, 10th grade
Yes, 11th grade
Yes, 12th grade
Clear selection
If you are a high school student, which high school?
Your answer
Date of Birth (Optional)
MM
/
DD
/
YYYY
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